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Indian Public Health Standards (IPHS) 

Guidelines for 
Primary Health Centres 

Revised 2012 



Directorate General of Health Services 
Ministry of Health & Family Welfare 
Government of India 









Indian Public Health Standards (IPHS) 

Guidelines for 

Primary Health Centres 


Revised 2012 



Directorate General of Health Services 
Ministry of Health & Family Welfare 
Government of India 




CONTENTS 


Message v 

Foreword vi 

Preface vii 

Acknowledgements viii 

Executive Summary 1 

Indian Public Health Standards for Primary Health Centres 3 

Introduction.3 

Objectives of Indian Public Health Standards (IPHS) for Primary Health Centres (PHC).4 

Services at the Primary Health Centre for Meeting the IPHS.4 

Infrastructure .12 

Manpower.16 

Drugs.17 

The Transport Facilities with Assured Referral Linkages .17 

Laundry Services.17 

Dietary Facilities for Indoor Patients.17 

Waste Management at PHC Level.17 

Quality Assurance.17 

Monitoring of PHC Functioning.18 

Accountability .18 

Statuary and Regulatory Compliance.18 

Annexures 

Annexure 1: National Immunization Schedule for Infants, Children and Pregnant Women.19 

Annexure 2: Layout of PHC.21 

Annexure 2A: Layout of Operation Theatre.22 




















Annexure 3: List of Suggested Equipment and Furniture Including Reagents and Diagnostic Kits.23 

Annexure 3A: Newborn Corner in Labour Room/OT.27 

Annexure 4: Essential Drugs for PHC.29 

Annexure 5: Universal Precautions .45 

Annexure 6: Check List for Monitoring by External Mechanism .46 

Annexure 7: Job Responsibilities of Medical Officer and Other Staff at PHC .49 

Annexure 8: Charter of Patients' Rights for Primary Health Centre.63 

Annexure 9: Proforma for Facility Survey for PHC on IPHS.64 

Annexure 10: Facility Based Maternal Death Review Form.73 

Annexure 11: Integrated Disease Surveillance Project Formats.77 

Annexure 11A: Form P Weekly Reporting Format - IDSP.78 

Annexure 11B: Form L Weekly Reporting Format - IDSP.79 

Annexure 11C: Format for instantaneous reporting of Early Warning Signals/Outbreaks 

as soon as it is detected.80 

Annexure 12: List of Statutory and Regulatory Compliances.81 

Annexure 13: List of Abbreviations.82 

References 84 

Members of Task Force for Revision of IPHS 85 


















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GHULAM NABI AZAD 



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Minister of Health & Family Welfare 
Government of India 
Nirman Bhavan, New Delhi-110108 


MESSAGE 


National Rural Health Mission (NRHM) was launched to strengthen the Rural Public Health 
System and has since met many hopes and expectations. The Mission seeks to provide effective 
health care to the rural populace throughout the country with special focus on the States and 
Union Territories (UTs), which have weak public health indicators and/or weak infrastructure. 

Towards this end, the Indian Public Health Standards (IPHS) for Sub-Centres, Primary Health 
Centres (PHCs), Community Health Centres (CHCs), Sub-District and District Hospitals were 
published in January/February, 2007 and have been used as the reference point for public health 
care infrastructure planning and up-gradation in the States and UTs. IPHS are a set of uniform standards envisaged 
to improve the quality of health care delivery in the country. 

The IPHS documents have been revised keeping in view the changing protocols of the existing programmes and 
introduction of new programmes especially for Non-Communicable Diseases. Flexibility is allowed to suit the 
diverse needs of the states and regions. 

Our country has a large number of public health institutions in rural areas from sub-centres at the most peripheral 
level to the district hospitals at the district level. It is highly desirable that they should be fully functional and deliver 
quality care. I strongly believe that these IPHS guidelines will act as the main driver for continuous improvement in 
quality and serve as the bench mark for assessing the functional status of health facilities. 

I call upon all States and UTs to adopt these IPHS guidelines for strengthening the Public Health Care Institutions 
and put in their best efforts to achieve high quality of health care for our people across the country. 


New Delhi 
23.11.2011 

(Ghulam Nabi Azad) 
















P.K. PRADHAN 

Secretary 

Department of Health & FW 
Tel.: 23061863 Fax : 23061252 
e-mail: secyhfw@nic.in 



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-^4 - 110108 

GOVERNMENT OF INDIA 
MINISTRY OF HEALTH & FAMILY WELFARE 
NIRMAN BHAVAN, NEW DELHI -110108 


FOREWORD 


As envisaged under National Rural Health Mission (NRHM), the public health institutions in rural 
areas are to be upgraded from its present level to a level of a set of standards called "Indian 
Public Health Standards (IPHS)". The Indian Public Health Standards are the benchmarks for 
quality expected from various components of Public health care organizations and may be used 
for assessing performance of health care delivery system. 

As early as 1951, the Primary Health Centres (PHCs) were established as an integral part of 
community development programme. Since then lot of changes have taken place. Currently the 
PHC covers a population of 20,000-30,000 (depending upon the geographical location) and is 
occupying a place between a Sub-Centre at the most peripheral level and Community Health Centre at block 
level. 

As setting standards is a dynamic process, need was felt to update the IPHS keeping in view the changing protocols 
of existing National Health Programmes, introduction of new programmes especially for Non-Communicable 
Diseases and prevailing epidemiological situation in the country. The IPHS for PHC has been revised by a task 
force comprising of various stakeholders under the Chairmanship of Director General of Health Services. Subject 
experts, NGOs, State representatives and health workers working in the health facilities have also been consulted 
at different stages of revision. 

The newly revised IPHS for PHC has considered the services, infrastructure, manpower, equipment and drugs into 
two categories of Essential (minimum assured services) and Desirable (the ideal level services which the states and 
Union Territories (UTs) shall try to achieve). PHCs have been categorized into two categories depending upon the 
case load of deliveries. This has been done to ensure optimal utilization of resources. Sates/UTs are expected to 
categorize the PHCs and provide infrastructure according to the laid down guidelines in this document. 

I am sure this document will help the States Governments and Panchayati Raj Institutions to monitor effectively as 
to how many of the PHCs are conforming to IPHS and take measures to upgrade the remaining to desired level. 

I would like to acknowledge the efforts put by the Directorate General of Health Services in preparing the guidelines. 
Comments and suggestions for further improvement are most welcome. 


(P.K.Pradhan) 







National Rural Health Mission 












Prof, of Cardiac Surgery 
VMMC P.G. Institute Safdarjung Hospital 
Director General of Health Services 


Dr. Jagdish Prasad 


M S. M.Ch., FIACS 



fcrft-110 108 
GOVERNMENT OF INDIA 
MINISTRY OF HEALTH & FAMILY WELFARE 
DIRECTORATE GENERAL OF HEALTH SERVICES 
NIRMAN BHAWAN, NEW DELHI-110 108 
Tel: 23061438, 23061063 (0). 23061924 (F). 26161026 (SJH) 
E-mail: drj.prasad@nic.in, drjprasad2010@gmail.com 
dghs@nic.in 


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PREFACE 



A Primary Health Centre (PHC) serves as a first port of call to a qualified doctor in the public 
health sector in rural areas providing a range of curative, promotive and preventive health care. 


Standards are a means of describing a level of quality that the health care organizations are 
expected to meet or aspire to achieve. For the first time under National Rural Health Mission 
(NRHM), an effort had been made to develop Indian Public Health Standards (IPHS) for a vast 
network of peripheral public health institutions in the country and the first set of standards was 
released in early 2007. 


A PHC providing 24-hour services and with appropriate linkages, plays an important role in increasing institutional 
deliveries thereby helping to reduce maternal mortality and infant mortality. 

The IPHS for Primary Health Centres has been revised keeping in view the resources available with respect to 
functional requirements of Primary Health Centre with minimum standards for such as building, manpower, 
instruments and equipment, drugs and other facilities etc. The revised IPHS has also incorporated the changed 
protocols of the existing health programmes and new programmes and initiatives especially in respect of Non- 
Communicable Diseases. The task of revision was completed as a result of consultations held over many months 
with task force members, programme officers, Regional Directors of Health and Family Welfare, experts, health 
functionaries, representatives of Non-Government organizations, development partners and State/Union Territory 
Government representatives after reaching a consensus. The contribution of all of them is well appreciated. Several 
innovative approaches have been incorporated in the management process to ensure community and Panchayati 
Raj Institutions' involvement and accountability. 

From Service delivery angle, PHCs may be of two types depending upon the delivery case load - Type A and Type 
B. The PHCs with delivery case load of less than 20 deliveries in a month will be of Type A and those with delivery 
case load of 20 or more in a month will be of Type B. This has been done to ensure optimal utilization of manpower 
and resources. 

Setting standards is a dynamic process and this document is not an end in itself. Further revision of the standards 
shall be undertaken as and when the Primary Health Centres will achieve a minimum functional grade. It is hoped 
that this document will be of immense help to the States/Union Territories and other stakeholders in bringing up 
Primary Health Centres to the level of Indian Public Health Standards. 



(Dr. Jagdish Prasad) 












ACKNOWLEDGEMENTS 


The revision of the existing guidelines for Indian Public Health Standards (IPHS) for different levels of Health Facilities 
from Sub-Centre to District Hospitals was started with the formation of a Task Force under the Chairmanship of 
Director General of Health Services (DGHS). This revised document is a concerted effort made possible by the advice, 
assistance and cooperation of many individuals, Institutions, government and non-government organizations. 

I gratefully acknowledge the valuable contribution of all the members of the Task Force constituted to revise Indian 
Public Health Standards (IPHS). The list of Task Force Members is given at the end of this document. I am thankful 
to them individually and collectively. 

I am truly grateful to Mr. P.K. Pradhan, Secretary (H & FW) for the active encouragement received from him. 

I also gratefully acknowledge the initiative, inspiration and valuable guidance provided by 
Dr. Jagdish Prasad, Director General of Health Services, Ministry of Health and Family Welfare, Government of 
India. He has also extensively reviewed the document while it was being developed. 

I sincerely acknowledge the contribution of Dr. R.K Srivastava, Ex- DGHS and Chairman of Task Force constituted for 
revision of IPHS who has extensively reviewed the document at every step, while it was being developed. 

I sincerely thank Miss K. Sujatha Rao, Ex-Secretary (H&FW) for her valuable contribution and guidance 
in rationalizing the manpower requirements for Health Facilities. I would specially like to thank 
Ms. Anuradha Gupta, Additional Secretary and Mission Director NRHM, Mr. Manoj Jhalani Joint Secretary 
(RCH), Mr. Amit Mohan Prasad, Joint Secretary (NRHM), Dr. R.S. Shukla Joint Secratary (PH), Dr. Shiv 
Lai, former Special DG and Advisor (Public Health), Dr. Ashok Kumar, DDG Dr. N.S. Dharm Shaktu, DDG, 
Dr. C.M. Agrawal DDG, Dr. P.L. Joshi former DDG, experts from NHSRC namely Dr. T. Sunderraman, 
Dr. J.N. Sahai, Dr. P. Padmanabhan, Dr. J.N. Srivastava, experts from NCDC Dr. R.L. Ichhpujani, Dr. A.C. Dhariwal, 
Dr. Shashi Khare, Dr. S.D. Khaparde, Dr. Sunil Gupta, Dr. R.S. Gupta, experts from NIHFW Prof. B. Deoki Nandan, 
Prof. K. Kalaivani, Prof. M. Bhattacharya, Prof. J.K. Dass, Dr. Vivekadish, programme officers from Ministry of 
Health Family welfare and Directorate General of Health Services especially Dr. Himanshu Bhushan, Dr. Manisha 
Malhotra, Dr. B. Kishore, Dr. Jagdish Kaur, Dr. D.M. Thorat and Dr. Sajjan Singh Yadav for their valuable contribution 
and guidance in formulating the IPHS documents. 

I am grateful to the following State level administrators, health functionaries working in the health facilities and 
NGO representatives who shared their field experience and greatly contributed in the revision work; namely: 

Dr. Manohar Agnani, MD NRHM from Government of MP Dr. Junaid Rehman from Government of Kerala. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 




Dr. Kamlesh Kumar Jain from Government of Chhattisgarh. 

Dr. Y.K. Gupta, Dr. Kiran Malik, Dr. Avdesh Kumar, Dr. Naresh Kumar, Smt. Prabha Devi Panwar, ANM and 
Ms. Pushpa Devi, ANM from Government of Uttar Pradesh. 

Dr. P.N.S. Chauhan, Dr. Jayashree Chandra, Dr. S.A.S. Kazmi, Dr. L.B. Asthana, Dr. R.P. Maheshwari, Dr. (Mrs.) Pushpa 
Gupta, Dr. Ramesh Makwana and Dr. (Mrs.) Bhusan Shrivastava from Government of Madhya Pradesh. 

Dr. R.S. Gupta, Dr. S.K. Gupta, Ms. Mamta Devi, ANM and Ms. Sangeeta Sharma, ANM from Government of 
Rajasthan. 

Dr. Rajesh Bali from Government of Haryana. 

NGO representatives: Dr. P.K. Jain from RK Mission and Dr. Sunita Abraham from Christian Medical Association of 
India. 

Tmt. C. Chandra, Village Health Nurse, and Tmt. K. Geetha, Village Health Nurse from Government of Tamil Nadu. 

I express my sincere thanks to Architects of Central Design Bureau namely Sh. S. Majumdar, Dr. Chandrashekhar, 
Sh. Sridhar and Sh. M. Bajpai for providing inputs in respect of physical infrastructure and building norms. 

I am also extremely grateful to Regional Directors of Health and Family Welfare, State Health Secretaries, State 
Mission directors and State Directors of Health Services for their feedback. 

I shall be failing in my duty if I do not thank Dr. P.K. Prabhakar, Deputy Commissioner, Ministry of Health and Family 
Welfare for providing suggestions and support at every stage of revision of this document. 

Last but not the least the assistance provided by my secretarial staff and the team at Macro Graphics Pvt. Ltd. is 
duly acknowledged. 



June 2012 
New Delhi 


(Dr. Anil Kumar) 

Member Secretary-Task force 
CMO (NFSG) 

Directorate General of Health Services 
Ministry of Health & Family Welfare 
Government of India 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 


o 




EXECUTIVE SUMMARY 


Primary Health Centre is the cornerstone of rural 
health services- a first port of call to a qualified 
doctor of the public sector in rural areas for the 
sick and those who directly report or referred from 
Sub-Centres for curative, preventive and promotive 
health care. 

A typical Primary Health Centre covers a population 
of 20,000 in hilly, tribal, or difficult areas and 30,000 
populations in plain areas with 6 indoor/observation 
beds. It acts as a referral unit for 6 Sub-Centres and 
refer out cases to CHC (30 bedded hospital) and higher 
order public hospitals located at sub-district and 
district level. However, as the population density in 
the country is not uniform, the number of PHCs would 
depend upon the case load. PHCs should become a 
24 hour facility with nursing facilities. Select PHCs, 
especially in large blocks where the CHC/FRU is over 
one hour of journey time away, may be upgraded to 
provide 24 hour emergency hospital care for a number 
of conditions by increasing number of Medical Officers, 
preferably such PHCs should have the same IPHS norms 
as for a CHC. 

Standards are the main driver for continuous 
improvements in quality. The performance of Primary 
Health Centres can be assessed against the set 
standards. Setting standards is a dynamic process. 
Currently the IPHS for Primary Health Centres has 
been revised keeping in view the resources available 
with respect to functional requirements of Primary 
Health Centre with minimum standards such as 


building, manpower, instruments and equipment, 
drugs and other facilities etc. The revised IPHS has 
incorporated the changed protocols of the existing 
health programmes and new programmes and 
initiatives especially in respect of Non-communicable 
diseases. 

The overall objective of IPHS for PHC is to provide 
health care that is quality oriented and sensitive to 
the needs of the community. These standards would 
also help monitor and improve the functioning of the 
PHCs. 

Service Delivery 

♦ From Service delivery angle, PHCs may be of two 
types, depending upon the delivery case load - 
Type A and Type B. 

Type A PHC: PHC with delivery load of less than 
20 deliveries in a month, 

Type B PHC: PHC with delivery load of 20 or more 
deliveries in a month 

♦ All "Minimum Assured Services" or Essential 
Services as envisaged in the PHC should be 
available. The services which are indicated as 
Desirable are for the purpose that we should 
aspire to achieve for this level of facility. 

♦ Appropriate guidelines for each National 
Programme for management of routine 
and emergency cases are being provided to the 
PHC. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 




Minimum Requirement for 
Delivery of the Above-mentioned 
Services 

The following requirements are being projected based 
on case load of 40 patients per doctor per day, the 
expected number of beneficiaries for maternal and 
child health care and family planning and about 60% 
utilization of the available indoor/observation beds (6 
beds). Besides one MBBS medical officer, one AYUSH 
medical officer (desirable) has been provided to provided 
choices to the people, wherever an AYUSH public 
facility is not available in the near vicinity. Manpower 
has been rationalized. For Type B PHCs, additional staff 
in the from of one MBBS medical officer (desirable) one 
Staff Nurse and one sanitary worker cum watchman 
have been provided have been provided to take care 
of additional delivery case load. It would be a dynamic 


process in the sense that if the utilization goes up, the 
standards would be further upgraded. 

Facilities 

The document includes a suggested layout of PHC 
indicating the space for the building and other 
infrastructure facilities. A list of manpower, equipment, 
furniture and drugs needed for providing the assured 
and desirable services at the PHC has been incorporated 
in the document. A Charter of Patients' Rights for 
appropriate information to the beneficiaries, grievance 
redressal and constitution of Rogi Kalyan Samiti/ 
Primary Health Centre Management Committee for 
better management and improvement of PHC services 
with involvement of Panchayati Raj Institutions (PRI) 
has also been made as a part of the Indian Public 
Health Standards. The monitoring process and quality 
assurance mechanism is also included. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



INDIAN PUBLIC HEALTH STANDARDS FOR PRIMARY 
HEALTH CENTRES 


Introduction 

The concept of Primary Health Centre (PHC) is not new 
to India. The Bhore Committee in 1946 gave the concept 
of a PHC as a basic health unit to provide as close to the 
people as possible, an integrated curative and preventive 
health care to the rural population with emphasis on 
preventive and promotive aspects of health care. 

The health planners in India have visualized the PHC 
and its Sub-Centres (SCs) as the proper infrastructure 
to provide health services to the rural population. The 
Central Council of Health at its first meeting held in 
January 1953 had recommended the establishment 
of PHCs in community development blocks to provide 
comprehensive health care to the rural population. These 
centres were functioning as peripheral health service 
institutions with little or no community involvement. 
Increasingly, these centres came under criticism, as they 
were not able to provide adequate health coverage, 
partly, because they were poorly staffed and equipped 
and lacked basic amenities. 

The 6 th Five year Plan (1983-88) proposed reorganization 
of PHCs on the basis of one PHC for every 30,000 rural 
populations in the plains and one PHC for every 20,000 
population in hilly, tribal and desert areas for more 
effective coverage. However, as the population density 
in the country is not uniform, the number of PHCs 
would depend upon the case load. PHCs should become 
functional for round the clock with provision of 24 x 7 
nursing facilities. Select PHCs, especially in large blocks 
where the CHC is over one hour of journey time away, 
may be upgraded to provide 24 hour emergency 


hospital care for a number of conditions by increasing 
the number of Medical Officers; preferably such PHCs 
should have the same IPHS norms as for a CHC. There 
are 23673 PHCs functioning in the country as on March 
2010 as per Rural Health Statistics Bulletin, 2010. The 
number of PHCs functioning on 24x7 basis are 9107and 
number of PHCs where three staff Nurses have been 
posted are 7629 (as on 31-3-2011). 

PHCs are the cornerstone of rural health services- a first 
port of call to a qualified doctor of the public sector in 
rural areas for the sick and those who directly report 
or referred from Sub-Centres for curative, preventive 
and promotive health care. It acts as a referral unit for 
6 Sub-Centres and refer out cases to Community Health 
Centres (CHCs-30 bedded hospital) and higher order 
public hospitals at sub-district and district hospitals. It 
has 4-6 indoor beds for patients. 

PHCs are not spared from issues such as the inability to 
perform up to the expectation due to (i) non-availability 
of doctors at PHCs; (ii) even if posted, doctors do not stay 
at the PHC HQ; (iii) inadequate physical infrastructure 
and facilities; (iv) insufficient quantities of drugs; (v) lack 
of accountability to the public and lack of community 
participation; (vi) lack of set standards for monitoring 
quality care etc. 

Standards are a means of describing the level of quality 
that health care organizations are expected to meet 
or aspire to. Key aim of these standards is to underpin 
the delivery of quality services which are fair and 
responsive to client's needs, provided equitably and 
deliver improvements in the health and wellbeing of the 
population. Standards are the main driver for continuous 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 




improvements in quality. The performance of health care 
delivery organizations can be assessed against standards. 
The National Rural Health Mission (NRHM) has provided 
the opportunity to set Indian Public Health Standards 
(IPHS) for Health Centres functioning in rural areas. 

In order to provide optimal level of quality health care, 
a set of standards called Indian Public Health Standards 
(IPHS) were recommended for Primary Health Centre 
(PHC) in early 2007. 

The nomenclature of a PHC varies from State to State 
that include a Block level PHCs (located at block HQ and 
covering about 100,000 population and with varying 
number of indoor beds) and additional PHCs/New PHCs 
covering a population of 20,000-30,000 etc. Regarding 
the block level PHCs it is expected that they are 
ultimately going to be upgraded as Community Health 
Centres with 30 beds for providing specialized services. 

Setting standards is a dynamic process. Currently the 
IPHS for Primary Health Centres has been revised 
keeping in view the resources available with respect 
to functional requirement for PHCs having 6 beds 
with minimum standards such as building manpower, 
instruments, and equipment, drugs and other facilities 
etc. The revised IPHS has incorporated the changed 
protocols of the existing health programmes and new 
programmes and initiatives especially in respect of Non- 
communicable diseases. 

It is desirable that on the basis of essential services, 
State/UT should issue the Government notification for 
minimum mandate standard for services at PHC. 

Objectives of Indian Public Health 
Standards (IPHS) for Primary 
Health Centres (PHC) 

The overall objective of IPHS is to provide health care 
that is quality oriented and sensitive to the needs of the 
community. 

The objectives of IPHS for PHCs are: 

i. To provide comprehensive primary health care 
to the community through the Primary Health 
Centres. 

ii. To achieve and maintain an acceptable standard 
of quality of care. 

iii. To make the services more responsive and 
sensitive to the needs of the community. 


Services at the Primary Health 
Centre for meeting the IPHS 

From Service delivery angle, PHCs may be of two types, 
depending upon the delivery case load - Type A and 

Type B. 

Type A PHC: PHC with delivery load of less than 20 
deliveries in a month, 

Type B PHC: PHC with delivery load of 20 or more 
deliveries in a month 

All the following services have been classified as 

Essential (Minimum Assured Services) or Desirable 
(which all States/UTs should aspire to achieve at this 
level of facility). 

Medical care 

Essential 

♦ OPD services: A total of 6 hours of OPD services 
out of which 4 hours in the morning and 2 hours 
in the afternoon for six days in a week. Time 
schedule will vary from state to state. Minimum 
OPD attendance is expected to be 40 patients per 
doctor per day. In addition to six hours of duty at 
the PHC, it is desirable that MO PHC shall spend at 
least two hours per day twice in a week for field 
duties and monitoring. 

♦ 24 hours emergency services: appropriate 
management of injuries and accident, First Aid, 
stitching of wounds, incision and drainage of 
abscess, stabilisation of the condition of the patient 
before referral, Dog bite/snake bite/scorpion bite 
cases, and other emergency conditions. These 
services will be provided primarily by the nursing 
staff. However, in case of need, Medical Officer may 
be available to attend to emergencies on call basis. 

♦ Referral services. 

♦ In-patient services (6 beds). 

Maternal and Child Health Care Including 

Family Planning 

Essential 

a) Antenatal care 

i. Early registration of all pregnancies ideally 
in the first trimester (before 12 th week of 
pregnancy). However, even if a woman comes 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



late in her pregnancy for registration she should 
be registered and care given to her according 
to gestational age. Record tobacco use by all 
antenatal mothers. 

ii. Minimum 4 antenatal checkups and provision of 
complete package of services. 

Suggested schedule for antenatal visits: 

1 st visit: Within 12 weeks—preferably as soon 
as pregnancy is suspected—for registration of 
pregnancy and first antenatal check-up. 

2 nd visit: Between 14 and 26 weeks. 

3 rd visit: Between 28 and 34 weeks. 

4 th visit: Between 36 weeks and term. 

Associated services like providing iron and folic 
acid tablets, injection Tetanus Toxoid etc (as per 
the "guidelines for Ante-Natal Care and Skilled 
Attendance at birth by ANMs and LHVs) Ensure, 
at-least 1 ANC preferably the 3 rd visit, must be 
seen by a doctor. 

iii. Minimum laboratory investigations like 
Haemoglobin, Urine albumin and sugar, RPR 
test for syphilis and Blood Grouping and Rh 
typing. 

iv. Nutrition and health counseling. Brief advice on 
tobacco cessation if the antenatal mother is a 
smoker or tobacco user and also inform about 
dangers of second hand smoke. 

v. Identification and management of high risk and 
alarming signs during pregnancy and labour. 
Timely referral of such identified cases to FRUs/ 
other hospitals which are beyond the capacity of 
Medical Officer PHC to manage. 

vi. Tracking of missed and left out ANC. 

vii. Chemoprophylaxis for Malaria in high malaria 
endemic areas for pregnant women as per 
NVBDCP guidelines. 

b) Intra-natal care: (24-hour delivery services both 
normal and assisted) 

i. Promotion of institutional deliveries. 

ii. Management of normal deliveries. 

iii. Assisted vaginal deliveries including forceps/ 
vacuum delivery whenever required. 

iv. Manual removal of placenta. 


v. Appropriate and prompt referral for cases needing 
specialist care. 

vi. Management of pregnancy Induced hypertension 
including referral. 

vii. Pre-referral management (Obstetric first-aid) in 
Obstetric emergencies that need expert assistance 
(Training of staff for emergency management to 
be ensured). 

viii. Minimum 48 hours of stay after delivery. 

ix. Managing labour using Partograph. 

c) Proficient in identification and basic first aid 
treatment for PPH, Eclampsia, Sepsis and 
prompt referral 

As per 'Antenatal Care and Skilled Birth Attendance 
at Birth' Guidelines 

d) Postnatal Care 

i. Ensure post- natal care for 0 & 3 rd day at the health 
facility both for the mother and new-born and 
sending direction to the ANM of the concerned 
area for ensuring 7 th & 42 nd day post-natal home 
visits. 3 additional visits for a low birth weight 
baby (less than 2500 gm) on 14 th day, 21 st day and 
on 28 th day. 

ii. Initiation of early breast-feeding within one hour 
of birth. 

iii. Counseling on nutrition, hygiene, contraception, 
essential new born care (As per Guidelines of GOI 
on Essential new-born care) and immunization. 

iv. Others: Provision of facilities under Janani 
Suraksha Yojana (JSY). 

v. Tracking of missed and left out PNC. 

e) New Born care 

i. Facilities for Essential New Born Care (ENBC) and 
Resuscitation (Newborn Care Corner in Labour 
Room/OT, Details given in Annexure 3A). 

ii. Early initiation of breast feeding with in one hour 
of birth. 

iii. Management of neonatal hypothermia (provision 
of warmth/Kangaroo Mother Care (KMC), 
infection protection, cord care and identification 
of sick newborn and prompt referral. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



f) Care of the child 

i. Routine and Emergency care of sick children 
including Integrated Management of Neonatal 
and Childhood Illnesses (IMNCI) strategy and 
inpatient care. Prompt referral of sick children 
requiring specialist care. 

ii. Counseling on exclusive breast-feeding for 
6 months and appropriate and adequate 
complementary feeding from 6 months of age 
while continuing breastfeeding. (As per National 
Guidelines on Infant and Young Child Feeding, 
2006, by Ministry of WCD, Government of 
India). 


iii. Assess the growth and development of the infants 
and under 5 children and make timely referral. 

iv. Full Immunizationofall infantsandchildrenagainst 
vaccine preventable diseases as per guidelines 
of GOI. (Current Immunization Schedule at 
Annexure 1). Tracking of vaccination dropouts. 

v. Vitamin A prophylaxis to the children as per 
national guidelines. 

vi. Prevention and control of routine childhood 
diseases, infections like diarrhoea, pneumonia 
etc. and anemia etc. 

vii. Management of severe acute malnutrition cases 
and referral of serious cases after initiation of 
treatment as per facility based guidelines. 


Janani Suraksha Yojana 

Janani Suraksha Yojana (JSY) is a safe motherhood 
intervention under the National Rural Health Mission 
(NRHM) being implemented with the objective of 
reducing maternal and neo-natal mortality by promoting 
institutional delivery among the poor pregnant women. 
This scheme integrates cash assistance with delivery 
and post-delivery care. 

While the scheme would create demand for institutional 
delivery, it would be necessary to have adequate number 
of 24X7 delivery services centre, doctors, mid-wives, 
drugs etc. at appropriate places. Mainly, this will entail 

♦ Linking each habitation (village or a ward in an 
urban area) to a functional health centre- public 
or accredited private institution where 24X7 
delivery service would be available, 

♦ Associate an ASHA or a health link worker to each 
of these functional health centre. 

♦ It should be ensured that ASHA keeps track of all 
expectant mothers and newborn. All expectant 
mother and newborn should avail ANC and 
immunization services, if not in health centres, 
atleast on the monthly health and nutrition day, 
to be organised in the Anganwadi or sub-centre. 

♦ Each pregnant women is registered and a micro¬ 
birth plan is prepared. 

♦ Each pregnant woman is tracked for ANC, 

♦ For each of the expectant mother, a place of delivery 
is pre-determined at the time of registration and 
the expectant mother is informed, 


♦ A referral centre is identified and expectant 
mother is informed, 

♦ ASHA and ANM to ensure that adequate fund 
is available for disbursement to expectant 
mother, 

♦ ASHA takes adequate steps to organize transport 
for taking the women to the pre-determined 
health institution for delivery. 

♦ ASHA assures availability of cash for 
disbursement at the health centre and she 
escorts pregnant women to the pre-determined 
health centre. 

♦ ASHA package in the form of cash assistance for 
referral transport, cash incentive and transactional 
cost to be provided as per guidelines. 

Janani Shishu Suraksha Karyakram (JSSK) 

JJSSK launched on 1st of June of 2011 is an initiative 
to assure free services to all pregnant women and 
sick neonates accessing public health institutions. 
The scheme envisages free and cashless services to 
pregnant women including normal deliveries and 
caesarian section operations and also treatment of sick 
newborn (up to 30 days after birth) in all Government 
health institutions across State/UT. 

This initiative supplements the cash assistance 
given to pregnant women under the JSY and is 
aimed at mitigating the burden of out of pocket 
expenditure incurred by pregnant women and sick 
newborns, 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 





Entitlements for Pregnant Women 

1. Free and Zero expense delivery and Caesarian 
Section 

2. Free Drugs and Consumables 

3. Free Diagnostics (Blood, Urine tests and 
Ultrasonography etc. as required.) 

4. Free diet during stay in the health institutions (up 
to 3 days fro normal deliveries and upto 7 days 
for caesarian deliveries) 

5. Free provision of the Blood 

6. Free transport from home to health institutions, 
between facilities in case of referrals and drop 
back from institutions to home. 


7. Exemption from all kinds of user charges 

Entitlements for Sick newborn till 30 days 
after Birth 

1. Free and zero expense treatment 

2. Free Drugs and Consumables 

3. Free Diagnostics 

4. Free provision of the Blood 

5. Free transport from home to health 
institutions, between facilities in case of referrals 
and drop back from institutions to home. 

6. Exemption from all kinds of user charges 


g) Family Welfare 

i. Education, Motivation and Counseling to adopt 
appropriate Family planning methods. 

ii. Provision of contraceptives such as condoms, oral 
pills, emergency contraceptives, IUCD insertions. 

iii. Referral and Follow up services to the eligible 
couples adopting permanent methods 
(Tubectomy/Vasectomy). 

iv. Counseling and appropriate referral for couples 
having infertility. 

v. Permanent methods like Tubal ligation and 
vasectomy/NSV, where trained personnel and 
facility exist. 

Medical Termination of Pregnancies 

Essential 

Counseling and appropriate referral for safe abortion 
services (MTP) for those in need. 

Desirable 

♦ MTP using Manual Vacuum Aspiration (MVA) 
technique will be provided in PHCs, where trained 
personnel and facility exist. 

♦ Medical Method of Abortion with linkage for 
timely referral to the facility approved for 2 nd 
trimester of MTP. 

Management of Reproductive Tract 
Infections/Sexually Transmitted Infections 
Essential 

a. Health education for prevention of RTI/STIs. 

b. Treatment of RTI/STIs. 


Nutrition Services (coordinated with ICDS) 

Essential 

a. Diagnosis of and nutrition advice to malnourished 
children, pregnant women and others. 

b. Diagnosis and management of anaemia and 
vitamin A deficiency. 

c. Coordination with ICDS. 

School Health 

Teachers screen students on a continuous basis and 
ANMs/HWMs (a team of 2 workers) visit the schools 
(one school every week) for screening, treatment of 
minor ailments and referral. Doctor from CHC/PHC will 
also visit one school per week based on the screening 
reports submitted by the teams. Overall services to be 
provided under school health shall include 

Essential 

Health service provision 
Screening, health care and referral: 

♦ Screening of general health, assessment of 
Anaemia/Nutritional status, visual acuity, 
hearng problems, dental check up, common skin 
conditions, Heart defects, physical disabilities, 
learning disorders, behavior problems, etc. 

♦ Basic medicines to take care of common ailments, 
prevalent among young school going children. 

♦ Referral Cards for priority services at District/ 
Sub-District hospitals. 

Immunization: 

♦ As per national schedule 

♦ Fixed day activity 

♦ Coupled with education about the issue 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 





Micronutrient (Vitamin A & IFA) management: 

♦ Weekly supervised distribution of Iron-Folate 
tablets coupled with education about the issue 

♦ Administration of Vitamin-A in needy cases. 

De-worming 

♦ Biannually supervised schedule 

♦ Prior IEC 

♦ Siblings of students also to be covered 

Capacity building 
Monitoring & Evaluation 

Mid Day Meal: in coordination with department 
of school education, Ministry of Human Resource 
Development 

Desirable 

Health Promoting Schools 

♦ Counseling services 

♦ Regular practice of Yoga, Physical education, 
health education 

♦ Peer leaders as health educators. 

♦ Adolescent health education-existing in few places 

♦ Linkages with the out of school children 

♦ Health clubs, Health cabinets 

♦ First Aid room/corners or clinics. 

Adolescent Health Care 

To be provided preferably through adolescent friendly 
clinic for 2 hours once a week on a fixed day. Services 
should be comprehensive i.e. a judicious mixofpromotive, 
preventive, curative and referral services 

Core package (Essential) 

♦ Adolescentand Reproductive Health: Information, 
counseling and services related to sexual 
concerns, pregnancy, contraception, abortion, 
menstrual problems etc. 

♦ Services for tetanus immunization of adolescents 

♦ Nutritional Counseling, Prevention and 
management of nutritional anemia 

♦ STI/RTI management 

♦ Referral Services for VCTC and PPTCT services and 
services for Safe termination of pregnancy, if not 
available at PHC 

Optional/additional services (desirable): as per local need 

Outreach services in schools (essential) and community 
Camps (desirable) 

♦ Periodic Health check ups and health education 
activities, awareness generation and Co-curricular 
activities 


Promotion of Safe Drinking Water and 
Basic Sanitation 

Essential 

♦ Disinfection of water sources and Coordination 
with Public Health Engineering department for 
safe water supply. 

♦ Promotion of sanitation including use of toilets 
and appropriate garbage disposal. 

Desirable 

♦ Testing of water quality using H 2 S - Strip Test 
(Bacteriological). 

Prevention and control of locally endemic 
diseases like malaria, Kala Azar, Japanese 
Encephalitis etc. (Essential) 

Collection and reporting of vital events. 
(Essential) 

Health Education and Behaviour Change 
Communication (BCC). (Essential) 

Other National Health Programmes 

Revised National Tuberculosis Control Programme 
(RNTCP) 

Essential 

All PHCs to function as DOTS Centres to deliver treatment 
as per RNTCP treatment guidelines through DOTS 
providers and treatment of common complications 
of TB and side effects of drugs, record and report on 
RNTCP activities as per guidelines. Facility for Collection 
and transport of sputum samples should be available as 
per the RNTCP guidelines. 

National Leprosy Eradication Programme 

Essential 

a. Health education to community regarding 
Leprosy. 

b. Diagnosis and management of Leprosy and its 
complications including reactions. 

c. Training of leprosy patients having ulcers for 
self-care. 

d. Counselling for leprosy patients for regularity/ 
completion of treatment and prevention of 
disability. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



Integrated Disease Surveillance Project (IDSP) 

Essential 

a. Weekly reporting of epidemic prone diseases in S, 
P & L forms and SOS reporting of any cluster of 
cases (formats for the data collection are added in 
Annexures 11,11A, 11B, 11C). 

b. PHC will collect and analyse data from 
Sub-Centre and will report information to district 
surveillance unit. 

c. Appropriate preparedness and first level action in 
out-break situations. 

d. Laboratory services for diagnosis of Malaria, 
Tuberculosis, and tests for detection of faecal 
contamination of water (Rapid test kit) and 
chlorination level. 

National Programme for Control of Blindness (NPCB) 

Essential 

a. The early detection of visual impairment and 
their referral. 

b. Detection of cataract cases and referral for 
cataract surgery. 

c. Provision of Basic treatment of common eye 
diseases. 

d. Awareness generation through appropriate IEC 
strategies for prevention and early detection of 
impaired vision and other eye conditions. 

e. Greater participation/role of community in 
primary prevention of eye problems. 

National Vector Borne Disease Control Programme 

(NVBDCP) 

Essential in endemic areas 

Diagnosis and Management of Vector borne Diseases is to 

be undertaken as per NVBDCP guidelines for PHC/CHC: 

a. Diagnosis of Malaria cases, microscopic 
confirmation and treatment. 

b. Cases of suspected JE and Dengue to be provided 
symptomatic treatment, hospitalization and case 
management as per the protocols. 

c. Complete treatment to Kala-azar cases in Kala- 
azar endemic areas as per national Policy. 

d. Complete treatment of microfilaria positive cases 
with DEC and participation in and arrangement 
for Mass Drug Administration (MDA) along with 
management of side reactions, if any. Morbidity 
management of Lymphoedema cases. 


National AIDS Control Programme 

Essential 

a. IEC activities to enhance awareness and preventive 
measures about STIs and HIV/AIDS, Prevention of 
Parents to Child Transmission (PPTCT) services. 

b. Organizing School Health Education Programme. 

c. Condom Promotion & distribution of condoms to 
the high risk groups. 

d. Help and guide patients with HIV/AIDS receiving 
ART with focus on adherence. 

Desirable 

a. Integrated Counseling and Testing Centre, STI 
services. 

b. Screening of persons practicing high-risk behaviour 
with one rapid test to be conducted at the PHC 
level and development of referral linkages with 
the nearest ICTC at the District Hospital level for 
confirmation of HIV status of those found positive 
at one test stage in the high prevalence states. 

c. Risk screening of antenatal mothers with one 
rapid test for HIV and to establish referral linkages 
with CHC or District Hospital for PPTCT services 
in the six high HIV prevalence states (Tamil 
Nadu, Andhra Pradesh, Maharashtra, Karnataka, 
Manipur and Nagaland) of India. 

d. Linkage with Microscopy Centre for HIV-TB 
coordination. 

e. Pre and post-test counseling of AIDS patients by 
PHC staff in high prevalence states. 

National Programme for Prevention and Control of 

Deafness (NPPCD) 

Essential 

a. Early detection of cases of hearing impairment 
and deafness and referral. 

b. Basic Diagnosis and treatment services for 
common ear diseases like wax in ear, otomycosis, 
otitis externa, Ear discharge etc. 

c. IEC services for prevention, early detection 
of hearing impairment/deafness and greater 
participation/role of community in primary 
prevention of ear problems. 

National Mental Health Programme (NMHP) 

Essential 

a. Early identification (diagnosis) and treatment of 
mental illness in the community. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



b. Basic Services: Diagnosis and treatment of 
common mental disorders such as psychosis, 
depression, anxiety disorders and epilepsy and 
referral). 

c. IEC activities for prevention, stigma removal, 
early detection of mental disorders and greater 
participation/role of Community for primary 
prevention of mental disorders. 

National Programme for Prevention and Control of 

Cancer, Diabetes, CVD and Stroke (NPCDCS) 

Cancer 

Essential 

a. IEC services for prevention of cancer and early 
symptoms. 

b. Early detection of cancer with warning signals 
like change in Bladder/Bowel habits, bleeding 
per rectum, blood in urine, lymph node 
enlargement, Lump or thickening in Breast, 
itching and/or redness or soreness of the nipples 
of Breast, non healing chronic sore or ulcer in oral 
cavity, difficulty in swallowing, obvious change 
in wart/mole, nagging cough or hoarseness of 
voice etc. 

c. Referral of suspected cancer cases with early 
warning signals for confirmation of the diagnosis. 

Desirable 

PAP smear 

Other NCD Diseases 

Essential 

a. Health Promotion Services to modify individual, 
group and community behaviour especially 
through; 

i. Promotion of Healthy Dietary Habits. 

ii. Increase physical activity. 

iii. Avoidance of tobacco and alcohol. 

iv. Stress Management. 

b. Early detection, management and referral of 
Diabetes Mellitus, Hypertension and other 
Cardiovascular diseases and Stroke through simple 
measures like history, measuring blood pressure, 
checking for blood, urine sugar and ECG. 

Desirable 

Survey of population to identify vulnerable, high risk 

and those suffering from disease. 


National Iodine Deficiency Disorders Control 
Programme (NIDDCP) 

Essential 

a. IEC activities to promote the consumption of 
iodated salt by the people. 

b. Monitoring of Iodated salt through salt testing kits. 

National Programme for Prevention and Control of 
Fluorosis (NPPCF) (In affected (Endemic Districts) 

Essential 

a. Referral Services. 

b. IEC activities to prevent Fluorosis. 

Desirable 

a. Clinical examination and preliminary diagnostic 
parametres assessment for cases of Fluorosis if 
facilities are available. 

b. Monitoring of village/community level activity. 

National Tobacco Control Programme (NTCP) 

Essential 

a. Health education and IEC activities regarding 
harmful effects of tobacco use and second hand 
smoke. 

b. Promoting quitting of tobacco in the community. 

c. Providing brief advice on tobacco cessation to all 
smokers/tobacco users. 

d. Making PHC tobacco free. 

Desirable 

Watch for implementation of ban on smoking in public 
places, sale of tobacco products to minors, sale of 
tobacco products within 100 yards of educational 
institutions. 

National Programme for Health Care of Elderly 

Essential 

IEC activities on healthy aging. 

Desirable 

'Weekly geriatric clinic at PHC' for providing complete 
health assessment of elderly persons, Medicines, 
Management of chronic diseases and referral services. 

Oral Health 

Essential 

Oral health promotion and check ups & appropriate 
referral on identification. 


n Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 




Physical Medicine and Rehabilitation (PMR) Services 

Desirable 

a. Primary prevention of Disabilities. 

b. Screening, early identification and detection. 

c. Counseling. 

d. Issueof DisabilityCertificateforobvious Disabilities 
by PHC doctor. 

Referral Services 

Appropriate and prompt referral of cases needing 
specialist care including: 

a. Stabilization of patient. 

b. Appropriate support to patient during transport. 

c. Providing transport facilities either by PHC vehicle 
or other available referral transport. 

d. Drop back home for patients as mandated 
underJSSK 

Training 

Essential 

a. Imparting training to undergraduate medical 
students and intern doctors in basic health care. 

b. Orientation training of male and female health 
workers in various National Health Programmes 
including RCH, Adolescent health services and 
immunization 

c. Skill based training to ASHAs. 

d. Initial and periodic Training of paramedics in 
treatment of minor ailments. 

e. Periodic training of Doctors and para medics 
through Continuing Medical Education, 
conferences, skill development trainings. 

f. All health staff of PHC must be trained in IMEP. 

Desirable 

g. Others 

i. There should be provision of induction training 
for doctors, nursing and paramedical staff. 

ii. Whenever new/higher responsibility is assigned 
or new equipment/technology is introduced, 
there must be provision of training. 

iii. There must be mechanism for ensuring quality 
assurance in trainings by Training feedback 
and Training effectiveness evaluation. 

iv. Appropriate placement for trained person 
should be ensured. 

v. Trainings in minor repairs and maintenance 
of available equipment should be provided to 
the user. 


vi. Training of para medics in indenting, 
forecasting, inventory and store management 

vii. Development of protocols for equipment 
(operation, preventive and breakdown 
maintenance). 

Note: 1. Trainings should commensurate with job responsibilities 
for each category of health personnel. 

Note: 2. Since ECG machine is envisaged in PHCs hence lab 
technician or some other paramedic should be trained in 
taking ECG. 

Basic Laboratory and Diagnostic Services 

Essential Laboratory services including 

i. Routine urine, stool and blood tests (Hb%, 
platelets count, total RBC, WBC, bleeding and 
clotting time). 

ii. Diagnosis of RTI/STDs with wet mounting, Grams 
stain, etc. 

iii. Sputum testing for mycobacterium (as per 
guidelines of RNTCP). 

iv. Blood smear examination malarial. 

v. Blood for grouping and Rh typing. 

vi. RDK for Pf malaria in endemic districts. 

vii. Rapid tests for pregnancy. 

viii. RPR test for Syphilis/YAWS surveillance (endemic 
districts). 

ix. Rapid test kit for fecal contamination of water. 

x. Estimation of chlorine level of water using ortho- 
toludine reagent. 

xi. Blood Sugar. 

Desirable 

xii. Blood Cholesterol. 

xiii. ECG. 

Validation of reports: periodic validation of laboratory 

reports should be done with external agencies like District 

PHC/Medical college for Quality Assurance. Periodic 

calibration of Laboratory and PHC equipment. 

Monitoring and Supervision 

Essential 

i. Monitoring and supervision of activities of Sub- 
Centre through regular meetings/periodic visits, by 
LHV, Health Assistant Male and Medical Officer etc.. 

ii. Monitoring of all National Health Programmes 
by Medical Officer with support of LHV, Health 
Assistant Male and Health educator. 

iii. Monitoring activities of ASHAs by LHV and ANM 
(in her Subcentre area). 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



iv. Health educator will monitor all IEC and BCC 
activities 

v. Health Assistants Male and LHV should visit Sub- 
Centres once a week. 

vi. Checking for tracking of missed out and left out 
ANC/PNC, Vaccinations etc. during monitoring 
visits and quality parameters (including using 
Partograph, AMTSL, ENBC etc.) during delivery 
and post delivery. 

vii. Timely payment of JSY beneficiaries. 

viii. Timely payment of TA/DA to ASHAs. 

Desirable 

i. MO should visit all Sub-Centres at least once in a 
month. This will be possible only if more than one 
Medical Officer is posted in the PHC. 

Functional Linkages with Sub-Centres 

Essential 

♦ There shall be a monthly review meeting at PHC 
chaired by MO (or in-charge), and attended by all 
the Health Workers (Male and Female) and Health 
Assistants (Male and female). 

♦ On the spot Supervisory visits to Sub-Centres. 

♦ Organizing Village Health and Nutrition day at 
Anganwadi Centres. 

Desirable 

♦ ASHAs and Anganwadi Workers should attend 
monthly review meetings. Medical Officer should 
orient ASHAs on selected topics of health care. 

Mainstreaming of AYUSH 

Desirable 

♦ Provision of one AYUSH Doctor and one AYUSH 
Pharmacist has been made at PHC to provide 
choices to the people wherever an AYUSH 
public facility is not available in the near vicinity. 
The AYUSH doctor at PHC shall attend patients 
for system specific AYUSH based preventive, 
promotive and curative health care and take 
up public health education activities including 
awareness generation about the uses of medicinal 
plants and local health practices. 

♦ The signboard of the PHC should mention AYUSH 
facilities. 

♦ AYUSH Doctor should support in implementation 
of national health programmes after requisite 
training if required. 


♦ Locally available medicinal herbs/plants should be 
grown around the PHC. 

Selected Surgical Procedures 

(Desirable) 

The vasectomy, tubectomy (including laparoscopic 
tubectomy), MTP, hydrocelectomy as a fixed day 
approach have to be carried out in a PHC having facilities 
of O.T. During all these surgical procedures, universal 
precautions will be adopted to ensure infection 
prevention. These universal precautions are mentioned 
at Annexure 5. 

Record of Vital Events and Reporting 

Essential 

a. Recording and reporting of Vital statistics including 
births and deaths. 

b. Maintenance of all the relevant records concerning 
services provided in PHC. 

Maternal Death Review (MDR). 

(Desirable) 

Facility Based MDR shall be conducted at the PHC, the 
form is given at Annexure 10. 

Infrastructure 

The PHC should have a building of its own. The 
surroundings should be clean. The details are as 
follows: 

PHC Building 

Location 

It should be centrally located in an easily accessible area. 

The area chosen should have facilities for electricity, all 
weather road communication, adequate water supply 
and telephone. At a place, where a PHC is already located, 
another health centre/SC should not be established to 
avoid the wastage of human resources. 

PHC should be away from garbage collection, cattle 
shed, water logging area, etc. PHC shall have proper 
boundary wall and gate. 

Area 

It should be well planned with the entire necessary 
infrastructure. It should be well lit and ventilated with 
as much use of natural light and ventilation as possible. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



The plinth area would vary from 375 to 450 sq. metres 
depending on whether an OT facility is opted for. 

Sign-age 

The building should have a prominent board displaying 
the name of the Centre in the local language at the gate 
and on the building. PHC should have pictorial, bilingual 
directional and layout sign-age of all the departments 
and public utilities (toilets, drinking water). 

Prominent display boards in local language providing 
information regarding the services available/user 
charges/fee and the timings of the centre. Relevant IEC 
material shall be displayed at strategic locations. 

Citizen charter including patient rights and responsibilities 
shall be displayed at OPD and Entrance in local language. 

Entrance with Barrier free access 

Barrier free access environment for easy access to non- 
ambulant (wheel-chair, stretcher), semi-ambulant, 
visually disabled and elderly persons as per guidelines 
of GOI. 

Ramp as per specification, Hand- railing, proper 
lightning etc must be provided in all health facilities 
and retrofitted in older one which lack the same. The 
doorway leading to the entrance should also have a 
ramp facilitating easy access for old and physically 
challenged patients. Adequate number of wheel chairs, 
stretchers etc. should also be provided. 

Disaster Prevention Measures 

For all new upcoming facilities in seismic 5 zone or other 
disaster prone areas. 

Building and the internal structure should be made 
disaster proof especially earthquake proof, flood proof 
and equipped with fire protection measures. 

Earthquake proof measures - structural and non- 
structural should be built in to withstand quake as per 
geographical/state govt, guidelines. Non-structural 
features like fastening the shelves, almirahs, equipment 
etc. are even more essential than structural changes 
in the buildings. Since it is likely to increase the cost 
substantially, these measures may especially be taken 
on priority in known earthquake prone areas. 

PHC should not be located in low lying area to prevent 
flooding as far as possible. 


Fire fighting equipment - fire extinguishers, sand 
buckets etc. should be available and maintained to be 
readily available when needed. Staff should be trained 
in using fire fighting equipment. 

All PHCs should have Disaster Management Plan in line 
with the District Disaster management Plan. All health 
staff should be trained and well conversant with disaster 
prevention and management aspects. Surprise mock 
drills should be conducted at regular intervals. 

Waiting Area 

a. This should have adequate space and seating 
arrangements for waiting clients/patients as per 
patient load. 

b. The walls should carry posters imparting health 
education. 

c. Booklets/leaflets in local language may be provided 
in the waiting area for the same purpose. 

d. Toilets with adequate water supply separate for 
males and females should be available. Waiting 
area should have adequate number of fans, 
coolers, benches or chairs. 

e. Safe Drinking water should be available in the 
patient's waiting area. 

There should be proper notice displaying departments 
of the centre, available services, names of the doctors, 
users' fee details and list of members of the Rogi Kalyan 
Samiti/Hospital Management Committee. 

A locked complaint/suggestion box should be provided 
and it should be ensured that the complaints/suggestions 
are looked into at regular intervals and addressed. 

The surroundings should be kept clean with no water¬ 
logging and vector breeding places in and around the 
centre. 

Outpatient Department 

a. The outpatient room should have separate areas 
for consultation and examination. 

b. The area for examination should have sufficient 
privacy. 

c. In PHCs with AYUSH doctor, necessary 
infrastructure such as consultation room for 
AYUSH Doctor and AYUSH Drug dispensing area 
should be made available. 

d. OPD Rooms shall have provision for ample natural 
light, and air. Windows shall open directly to the 
external air or into an open verandah. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



e. Adequate measures should be taken for crowd 
management; e.g. one volunteer to call patients 
one by one, token system. 

f. One room for Immunization/Family Planning/ 
Counseling. 

Wards 5.5 m x 3.5 m each 

a. There should be 4-6 beds in a Primary Health Centre. 
Separate wards/areas should be earmarked for 
males and females with the necessary furniture. 

b. There should be facilities for drinking water and 
separate clean toilets for men and women. 

c. The ward should be easily accessible from the OPD 
so as to obviate the need for a separate nursing 
staff in the ward and OPD during OPD hours. 

d. Nursing station should be located in such a way 
that health staff can be easily accessible to OT and 
labour room after regular clinic timings. 

e. Proper written handover shall be given to incoming 
staff by the outgoing staff. 

f. Dirty utility room for dirty linen and used items. 

g. Cooking should not be allowed inside the wards 
for admitted patients. 

h. Cleaning of the wards, etc. should be carried out 
at regular intervals and at such times so as not to 
interfere with the work during peak hours and 
also during times of eating. Cleaning of the wards, 
Labour Room, OT, and toilets should be regularly 
monitored. 

Operation Theatre (Optional) 

To facilitate conducting selected surgical procedures 

(e.g. vasectomy, tubectomy, hydrocelectomy etc.). 

a. It should have a changing room, sterilization area 
operating area and washing area. 

b. Separate facilities for storing of sterile and 
unsterile equipment/instruments should be 
available in the OT. 

c. The Plan of an ideal OT has been annexed showing 
the layout. 

d. It would be ideal to have a patient preparation 
area and Post-Operative area. However, in view 
of the existing situation, the OT should be well 
connected to the wards. 

e. The OT should be well-equipped with all the 
necessary accessories and equipment. 

f. Surgeries like laparoscopy/cataract/Tubectomy/ 
Vasectomy should be able to be carried out in 
these OTs. 

g. OT shall be fumigated at regular intervals. 


h. One of the hospital staff shall be trained in 
Autoclaving and PHC shall have standard Operative 
procedure for autoclaving. 

i. OT shall have power back up (generator/invertor/ 
UPS). OT should have restricted entry. Separate 
foot wear should be used. 

Labour Room (3.8 m x 4.2 m) 

Essential 

a. Configuration of New Born care corner 

• Clear floor area shall be provided in the room 
for newborn corner. It is a space within the 
labour room, 20-30 sq ft in size, where a 
radiant warmer (Functional) will be kept. 

• Oxygen, suction machine and simultaneously- 
accessible electrical outlets shall be provided 
for the newborn infant in addition to the 
facilities required for the mother. Both 
Oxygen Cylinder and Suction Machine should 
be functional with their tips cleaned and 
covered with sterile gauze etc for ready to use 
condition. They must be cleaned after use and 
kept in the same way for next use. 

• The Labour room shall be provided with a 
good source of light, preferably shadow-less. 

• Resuscitation kitincludingAmbu Bag (Paediatric 
size) should be placed in the radiant warmer. 

• Provision of hand washing and containment 
of infection control if it is not a part of the 
delivery room. 

• The area should be away from draught of 
air, and should have power connection for 
plugging in the radiant warmer. 

b. There should be separate areas for septic and 
aseptic deliveries. 

c. The Labour room should be well-lit and ventilated 
with an attached toilet and drinking water facilities. 
Facilities for hot water shall be available. 

d. Separate areas for Dirty linen, baby wash, toilet, 
Sterilization. 

e. Standard Treatment Protocols for common 
problems during labour and for newborns to be 
provided in the labour room. 

f. Labour room should have restricted entry. 
Separate foot wear should be used. 

g. All the essential drugs and equipment (functional) 
should be available. 

h. Cleanliness shall always be maintained in Labour 
room by regular washing and mopping with 
disinfectants. 


In Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



i. Labour Room shall be fumigated at regular interval 

(Desirable). 

j. Delivery kits and other instruments shall be 
autoclaved where facility is available. 

k. If Labour Room has more than one labour table 
then the privacy of the women must be ensured 
by having screens between 2 labour tables. 

Minor OT/Dressing Room/Injection Room/ 
Emergency 

a. This should be located close to the OPD to cater 
to patients for minor surgeries and emergencies 
after OPD hours. 

b. It should be well equipped with all the emergency 
drugs and instruments. 

c. Privacy of the patients should be ensured. 

Laboratory (3.8 m x 2.7 m) 

a. Sufficient space with workbenches and separate 
area for collection and screening should be 
available. 

b. Should have marble/stone table top for platform 
and wash basins. 

General store 

a. Separate area for storage of sterile and common 
linen and other materials/drugs/consumable 
etc. should be provided with adequate storage 
space. 

b. The area should be well-lit and ventilated and 
rodent/pest free. 

• Sufficient number of racks shall be 
provided. 

• Drugs shall be stored properly and 
systematically in cool (away from direct 
sunlight), safe and dry environment. 

• inflammable and hazardous material shall be 
secured and stored separately 

c. Near expiry drugs shall be segregated and stored 
separately 

d. Sufficient space with the storage cabins separately 
for AYUSH drugs be provided. 

Dispensing cum store area: 3 m x 3 m 

Infrastructure for AYUSH doctor 

Based on the system of medicine being practiced, 
appropriate arrangements should be made for the 
provision of a doctor's room and a dispensing room cum 
drug storage. 


Waste disposal pit - As per GOI/Central Pollution 
Control Board (CPCB) guidelines. 

Cold Chain room - Size: 3 m x4 m 

Logistics Room - Size: 3 m x 4 m 

Generator room - Size: 3 m x 4 m 

Office room 3.5 m x 3.0 m 

Dirty utility room for dirty linen and used items 

Residential Accommodation 

Essential 

Decent accommodation with all the amenities likes 
24-hrs. water supply, electricity etc. should be available 
for Medical Officer, nursing staff, pharmacist, laboratory 
technician and other staff. 

If the accommodation can not be provided due to any 
reason, then the staff may be paid house rent allowance, 
but in that case they should be staying in near vicinity of 
PHC so that they are available 24 x 7, in case of need. 

Boundary wall/Fencing 

Essential 

Boundary wall/fencing with Gate should be provided 
for safety and security. 

Environment friendly features 

Desirable 

The PHC should be, as far as possible, environment 
friendly and energy efficient. Rain-Water harvesting, 
solar energy use and use of energy-efficient bulbs/ 
equipment should be encouraged. 

Other amenities 

Essential 

Adequate water supply and water storage facility (over 
head tank) with pipe water should be made available. 

Computer 

Essential 

Computer with Internet connection should be provided 
for Management Information System (MIS) purpose. 

Lecture Hall/Auditorium 

Desirable 

Fortraining purposes, a Lecture Hall or a small Auditorium 
for 30 Person should be available. Public address system 
and a black board should also be provided. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



The suggested layout of a PHC and Operation Theatre is 
given at Annexure 2 and Annexure 2A respectively. The 
Layout may vary according to the location and shape of 
the site, levels of the site and climatic conditions. The 
prescribed layout may be implemented in PHCs yet to 
be built, whereas those already built may be upgraded 
after getting the requisite alteration/additions. The 
funds may be made available as per budget provision 
under relevant strategies mentioned in NRHM/RCH-II 
program and other funding projects/programs. 

Equipment and Furniture 

a. The necessary equipment to deliver the assured 
services of the PHC should be available in adequate 
quantity and also be functional. 

b. Equipment maintenance should be given special 
attention. 

c. Periodic stock taking of equipment and preventive/ 
round the year maintenance will ensure proper 
functioning equipment. Back up should be made 
available wherever possible. A list of suggested 
equipment and furniture including regents and 
diagnostic kits is given in Annexure 3. 

Manpower 

To ensure round the clock access to public health facilities. 
Primary Health Centres are expected to provide 24-hour 


service with basic Obstetric and Nursing facilities. Under 
NRHM, PHCs are being operationalized for providing 
24 X 7 services in various phases by placing at least 3 
Staff Nurses in these facilities. If the case load is there, 
operationalization of 24 X 7 PHC may be undertaken in a 
phase-wise manner according to availability of manpower. 
This is expected to increase the institutional deliveries 
which would help in reducing maternal mortality. 

From Service delivery angle, PHCs may be of two types, 
depending upon the delivery case load - Type A and 
Type B. 

Type A PHC: PHC with delivery load of less than 20 
deliveries in a month, 

Type B PHC: PHC with delivery load of 20 or more 
deliveries in a month 

Select PHCs, especially in large blocks where the CHC is 
over one hour of journey time away, may be upgraded to 
provide 24 hour emergency hospital care for a number 
of conditions by increasing number of Medical Officers, 
preferably such PHCs should have the same IPHS norms 
as for a CHC. 

The manpower that should be available in the PHC is 
given in the table below: 

♦ For Type B PHCs, additional staff in the from of 
one MBBS medical officer (desirable, If the case 
load of delivery cases is more than 30 per 
month) one Staff Nurse and one sanitary worker 


Manpower: PHC 


Staff 

Typ 

e A 

Typ 

e B 


Essential 

Desirable 

Essential 

Desirable 

Medical Officer- MBBS 

1 


1 

1# 

Medical Officer-AYUSH 


r 


r 

Accountant cum Data Entry Operator 

1 


1 


Pharmacist 

1 


1 


Pharmacist AYUSH 


i 


i 

Nurse-midwife (Staff-Nurse) 

3 

+i 

4 

+i 

Health worker (Female) 

1* 


1* 


Health Assistant. (Male) 

1 


1 


Health Assistant. (Female)/Lady Health Visitor 

1 


1 


Health Educator 


i 


i 

Laboratory Technician 

1 


1 


Cold Chain & Vaccine Logistic Assistant 


i 


i 

Multi-skilled Group D worker 

2 


2 


Sanitary worker cum watchman 

1 


1 

+i 

Total 

13 

18 

14 

21 


* For Sub-Centre area of PHC. 

# If the delivery case load is 30 or more per month. One of the two medical officers (MBBS) should be female. 
A To provide choices to the people wherever an AYUSH public facility is not available in the near vicinity. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 

























cum watchman have been provided have been 
provided to take care of additional delivery case 
load. 

♦ Medical Officer should be available on call duty to 
manage emergencies. 

♦ Accommodation for at least one MO and 3 Staff 
Nurses will be provided. 

♦ One of the Class IV employee may be identified as 
helper to Cold Chain & Vaccine Logistic Assistant 
& trained. 

The job responsibilities of the different personnel are given 
in Annexure 7. Funds may be made available for hiring 
additional manpower as per provision under NRHM. 

Drugs 

Essential: 

a. All the drugs available in the Sub-Centre should 
also be available in the PHC. All the drugs as 
per state/UT essential drug list shall be available. 

b. In addition, all the drugs required forthe National 
Health Programmes and emergency management 
should be available in adequate quantities so 
as to ensure completion of treatment by all 
patients. 

c. Adequate quantities of all drugs should be 
maintained through periodic stock-checking, 
appropriate record maintenance and inventory 
methods. Facilities for local purchase of drugs 
in times of epidemics/outbreaks/emergencies 
should be made available. 

d. Drugs of that discipline of AYUSH to be made 
available for which the doctor is present. 
The list of suggested drugs is given in 

Annexure 4. 

The Transport Facilities with 
Assured Referral Linkages 

Referral Transport Facility 

It is desirable that the PHC has ambulance facilities 
for transport of patients for timely and assured 
referral to functional FRUs in case of complications 
during pregnancy and child birth. This may be 
outsourced either through Govt/PPP model or linkages 
with Emergency Transport system should be in place. 


Transport for Supervisory and Other 
Outreach Activities 

It is desirable that the vehicle is made available through 
outsourcing. 

Laundry Services 

Provision for clean linen shall be made for admitted 
patients. At least 5 sets of linen shall be made available. 
Laundry Services may be available in house or 
outsourced. 

Dietary Facilities for indoor 
Patients 

Desirable 

Nutritious and well- balanced diet shall be provided 
to all IPD patients keeping in mind their cultural 
prefernces. A suitable arrangement with a local 
agency like a local women's group/NGO/Self-Help 
Group for provision of nutritious and hygienic food at 
reasonable rates may be made wherever feasible and 
possible. 

Waste Management at PHC 
Level 

"Guidelines for Health Care Workers for Waste 
Management and Infection Control in Primary Health 
Centres" are to be followed. 

Quality Assurance 

♦ Periodic skill development training of the staff 
of the PHC in the various jobs/responsibilities 
assigned to them. 

♦ Standard Treatment Protocol for all National 
Health Programmes and locally common disease 
should be made available at all PHCs. 

♦ Regular monitoring is another important means. 
A few aspects that need definite attention are: 

i. Interaction and Information Exchange with 
the client/patient: 

■ Courtesy should be extended to patients/ 
clients by all the health providers including 
the support staff. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



■ All relevant information should be 
provided as regards the condition/illness 
of the client/patient. 

■ Attitude of the health care providers 
needs to undergo a radical change so 
as incorporate the feeling that client is 
important and needs to be treated with 
respect. 

ii. Cleanliness should be maintained in all 
areas. 

Monitoring of PHC functioning 

This is important to ensure that quality is maintained 
and also to make changes if necessary. 

Internal Mechanisms: Record maintenance, checking 
and supervision. 

Medical Audit 

Death Audit 

Patient Satisfaction Surveys: For both OPD and IPD 

patients. 

Evaluation of Complaints and suggestions received; 

External Mechanisms: Monitoring through the PRI/ 
Village Health Sanitation and Nutrition Committee/Rogi 
Kalyan Samiti/community monitoring framework, (as 
per guidelines of GOI/State Government). A checklist 
for the same is given in Annexure 6. A format for 
conducting facility survey for the PHCs to have baseline 
information on the gaps in comparison to Indian Public 


Health Standards and subsequently to monitor the 
availability of facilities as per IPHS guidelines is given at 

Annexure 9. 

Social audit 

Accountability 

To ensure accountability, the Charter of Patients' 
Rights should be made available in each PHC (as 
per the guidelines given in Annexure 8). Every PHC 
should have a Rogi Kalyan Samiti/Primary Health 
Centre's Management Committee for improvement 
of the management and service provision of the 
PHC (as per the Guidelines of Government of India). 
This committee will have the authority to generate its 
own funds (through users' charges, donation etc.) and 
utilize the same for service improvement of the PHC. The 
PRI/Village Health Sanitation and Nutrition Committee/ 
Rogi Kalyan Samiti should also monitor the functioning 
of the PHCs. 

Statuary and Regulatory 
Compliance 

PHC shall fulfil all the statuary and regulatory 
requirements and comply to all the regulations 
issued by local bodies, state and union of India. PHC 
shall have copy of these regulations/Acts. List of 
statuary and regulatory compliances is given in 
Annexure 12. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



ANNEXURES 


Annexure 1 

NATIONAL IMMUNIZATION SCHEDULE FOR INFANTS, 
CHILDREN AND PREGNANT WOMEN 


Immunization programme provides vaccination against seven vaccine preventable diseases 


Vaccine 

When to give 

Dose 

Route 

Site 

For Pregnant Women 

TT-1 & 2 

Early in pregnancy and 4 weeks 
after TT-1* 

[one dose (booster)* if previously 
vaccinated within last 3 years] 

0.5 ml 

Intra-muscular 

Upper Arm 

TT-Booster 

If pregnancy occur within three 
years of last TT vaccinations* 

0.5 ml 

Intra-muscular 

Upper Arm 

For Infants 

BCG 

At birth (for institutional 
deliveries) or along with DPT-1 
(upto one year if not given earlier) 

0.1 ml (0.05 ml for 
infant up to 1 month) 

Intra-dermal 

Left Upper Arm 

Hepatitis B- 0 

At birth for institutional delivery, 
preferably within 24 hrs of delivery 

0.5 ml 

Intra-muscular 

Outer Mid-thigh (Antero¬ 
lateral side of mid thigh) 

OPV-O 

At birth for institutional deliveries 
within 15 days 

2 drops 

Oral 

Oral 

OPV 1, 2 & 3 

At 6 weeks, 10 weeks & 14 weeks 

2 drops 

Oral 

Oral 

DPT 1, 2 & 3 

At 6 weeks, 10 weeks & 14 weeks 

0.5 ml 

Intra-muscular 

Outer Mid-thigh (Antero¬ 
lateral side of mid thigh) 

Hepatitis B-1, 

2 & 3 

At 6 weeks, 10 weeks & 14 weeks 

0.5 ml 

Intra-muscular 

Outer Mid-thigh (Antero¬ 
lateral side of mid-thigh) 

Measles 1 & 2 

At 9-12 months and 16-24 months 

0.5 ml 

Sub-cutaneous 

Right upper Arm 

Vitamin-A 

(1 st dose) 

At 9 months with measles 

1 ml (1 lakh IU) 

Oral 

Oral 

For Children 

DPT booster 

16-24 months 

0.5 ml 

Intra-muscular 

Outer Mid-thigh (Antero¬ 
lateral side of mid-thigh) 

2 nd booster at 5 years of age 

0.5 ml 

Intra-muscular 

Upper Arm 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 


































Vaccine 

When to give 

Dose 

Route 

Site 

OPV Booster 

16-24 months 

2 drops 

Oral 

Oral 

JE A 

16-24 months 

0.5 ml 

Sub-cutaneous 

Upper Arm 

Vitamin A 

(2 nd to 9 th dose) 

2 nd dose at 16 months with DPT/ 
OPV booster. 3 rd to 9 th doses are 
given at an interval of 6 months 
interval till 5 years age 

2 ml (2 lakh IU) 

Oral 

Oral 

DT Booster 

5 years 

0.5 ml 

Intra-muscular 

Upper Arm 

TT 

10 years & 16 years 

0.5 ml 

Intra-muscular 

Upper Arm 


* TT-2 or Booster dose to be given before 36 weeks of pregnancy. 

A JE in Selected Districts with high JE disease burden (currently 112 districts) 

A fully immunized infant is one who has received BCG, three doses of DPT, three doses of OPV, three doses of Hepatitis B and Measles before 
one year of age. 

Note: The Universal Immunization Programme is dynamic and hence the immunization schedule needs to be updated from time to time. 


n Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 















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Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



PRIMARY HEALTH CENTER 
TYPICAL PLAN 






















































































































































































































Annexure 2A: LAYOUT OF OPERATION THEATRE 



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Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 


TYPICAL LAYOUT FOR OPERATION THEATRE 












































































































Annexure 3 


LIST OF SUGGESTED EQUIPMENT AND FURNITURE 
INCLUDING REAGENTS AND DIAGNOSTIC KITS 


Essential 

1. Normal Delivery Kit. 

2. Equipment for assisted vacuum delivery. 

3. Equipment for assisted forceps delivery. 

4. Standard Surgical Set (for minor procedures like 
episiotomies stitching). 

5. Equipment for Manual Vacuum Aspiration. 

6. Equipment for New Born Care and Neonatal 
Resuscitation. 

7. IUCD insertion kit. 

8. Equipment/reagents for essential laboratory 
investigations. 

9. Refrigerator. 

10. ILR (Small) and DF (Small) with Voltage Stabilizer. 

11. Cold Boxes (Small & Large): Small- one, Large - 
two. 

12. Vaccine Carriers with 4 Icepacks: Two per SC 
(maximum 2 per polio booth) + 1 for PHC. 

13. Spare ice pack box: 8, 25 & 60 ice pack boxes per 
vaccine carrier, Small cold box & Large cold box 
respectively. 

14. Waste disposal twin bucket, hypochlorite solution/ 
bleach: As per need. 

15. Freeze Tag: 2 per ILR bimonthly. 

16. Thermometres Alcohol (stem): Need Based 

17. Ice box. 

18. Computer with accessories including internet 
facility. 


19. Binocular microscope. 

20. Equipment under various National Programmes. 

21. Radiant warmer for new born baby. 

22. Adult weighing scale. 

23. Baby weighing scale. 

24. Height measuring Scale. 

25. Table lamp with 200 watt bulb for New born 
baby. 

26. Phototherapy unit (Desirable). 

27. Self inflating bag and mask-neonatal size. 

28. Laryngoscope and Endotracheal intubation tubes 
(neonatal). 

29. Mucus extractor with suction tube and a foot 
operated suction machine. 

30. Feeding tubes for baby. 

31. Sponge holding forceps - 2. 

32. Vulsellum uterine forceps - 2. 

33. Tenaculum uterine forceps - 2. 

34. MVA syringe and cannulae of sizes 4-8 (2 sets; one 
for back up in case of technical problems). 

35. Kidney tray for emptying contents of MVA syringe. 

36. Torch without batteries - 2. 

37. Battery dry cells 1.5 volt (large size) - 4. 

38. Bowl for antiseptic solution for soaking cotton swabs. 

39. Tray containing chlorine solution for keeping 
soiled instruments. 

40. Kits for testing residual chlorine in drinking water. 

41. H 2 S Strip test bottles. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 




42. Head Light. 

43. Ear specula. 

44. B.P. Apparatus table model - 2. 

45. Stethoscope - 2. 

46. 3 sets of NSV instruments. 

47. Minilap kits -5. 

Desirable 

1. Room Heater/Cooler for immunization clinic with 
electrical fittings as per need. 

2. Ear Syringe. 

3. Otoscope. 

4. Jobson Horne Probe. 

5. Tuning fork. 

6. Noise Maker. 

7. ECG machine ordinary-1. 

8. Nebuliser-1 

Requirements for a fully equipped and 
operational labour room 

Essential 

A fully equipped and operational labour room must 
have the following: 

1. A labour table 

2. Suction machine 

3. Facility for Oxygen administration 

4. Sterilisation equipment 

5. 24-hour running water 

6. Electricity supply with back-up facility (generator 
with POL) 

7. Attached toilet facilities 

8 . Newborn Corner: Details mentioned in 
Annexure 3A 

9. Emergency drug tray: This must have the following 
drugs: 

• Inj. Oxytocin 

• Inj. Diazepam 

• Tab. Nifedepine 

• Inj. Magnesium sulphate 

• Inj. Lignocaine hydrochloride 

• Inj. Methyl ergometrine maleate 

• IV Haemaccel 

• Sterilised cotton and gauze 

10. Delivery kits, including those for normal delivery 
and assisted deliveries. PRIVACY of a woman in 


labour should be ensured as a quality assurance 
issue. 

List of equipment for Pap smear 

1. Cusco's vaginal speculum (each of small, medium 
and large size) 

2. Sim's vaginal speculum - single & double ended - 
(each of small, medium and large size) 

3. Anterior Vaginal wall retractor 

4. Sterile Gloves 

5. Sterilised cotton swabs and swab sticks in a jar 
with lid 

6. Kidney tray for keeping used instruments 

7. Bowl for antiseptic solution 

8. Antisepticsolution:Chlorhexidine l%orCetrimide 
2% (if povidone iodine solution is available, it is 
preferable to use that) 

9. Cheatle's forceps 

10. Proper light source/torch 

11. For vaginal and Pap Smears: 

• Clean slides with cover slips 

• Cotton swab sticks 

• KOH solution in bottle with dropper 

• Saline in bottle with dropper 

• Ayre's spatula 

• Fixing solution/hair spray 

Requirements of the laboratory 

Essential 

Reagents 

1. Reagents of Cyan meth - haemoglobin method for 
Hb estimation 

2. Uristix for urine albumin and sugar analysis 

3. ABO & Rh antibodies 

4. KOH solution for Whiff test 

5. Gram's iodine 

6. Crystal Violet stain 

7. Acetone-Ethanol decolourising solution. 

8. Safranine stain 

9. PH test strips 

10. RPR test kits for syphilis 


fm Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 





11. H 2 S Strip test kits for fecal contamination of 
drinking water 

12. Test kits for estimation of residual chlorine in 
drinking water using orthotoludine reagent 

13. 1000 Nos Whole Blood Finger Prick HIV Rapid Test 
and STI Screening Test each. 

Essential 

Glassware and other equipment: 

1. Colorimetre 

2. Test tubes 

3. Pipettes 

4. Glass rods 

5. Glass slides 

6. Cover slips 

7. Light Microscope 

8. Differential blood cell counter (Desirable) 

9. Glucometer (Desirable) 

List of Furniture at PHC 

The list is indicative and not exhaustive. The Furniture/ 
fittings and Medical and Surgical itmes are to be 
provided as per need and availability of space and 


services provided by the PHC. 

Essential Items 

1. Examination table 4 

2. Writing tables with table sheets 6 

3. Plastic chairs (for in-patients'attendants) 6 

4. Armless chairs 16 

5. Full size steel almirah 7 

6. Table for Immunization/FP/Counseling 1 

7. Bench for waiting area 2 

8. Wheel chair 2 

9. Stretcher on trolley 2 

10. Wooden screen 1 

11. Foot step 5 

12. Coat rack 2 

13. Bed side table 6 

14. Bed stead iron (for in-patients) 6 

15. Baby cot 2 

16. Stool 10 


17. Medicine chest 


1 

18. Lamp 


3 

19. Side Wooden racks 


4 

20. Fans 


6 

21. Tube light 


8 

22. Basin 


2 

23. Basin stand 


2 

24. Buckets 


4 

25. Mugs 


4 

26. LPG stove 


1 

27. LPG cylinder 


2 

28. Sauce pan with lid 


2 

29. Water receptacle 


3 

30. Rubber/plastic shutting 

2 metres 

31. Drum with tap for storing water 


2 

32. Mattress for beds 


12 

33. Foam Mattress for OT table 


2 

34. Foam Mattress for labour table 


2 

35. Bed sheets 


30 

36. Pillows with covers 


30 

37. Blankets 


18 

38. Baby blankets 


4 

39. Towels 


18 

40. Curtains with rods 

20 metres 

41. Dustbin 


5 

42. Coloured Puncture proof bags 

as per need 

43. Generator (5 KVA with POL for immunization 


purpose) 


1 

Essential Medical/Surgical items 



1. Blood Pressure Apparatus 


3 

(Non-mercury is desirable) 



2. Stethoscope 


3 

3. Tongue Depressor 


10 

4. Torch 


2 

5. Thermometre Clinical 


4 

6. Hub cutter 


2 

7. Needle Destroyer 


2 

8. Labour table 1 (02 for Type B PHC) 

9. OT table 


1 

10. Arm board for adult and child 


4 

11. Instrument trolley 


2 

12. 1 V stand 


10 

13. Shadowless lamp light (for OT and Labour room) 

2 

14. Macintosh for labour and OT table 

As per need 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



15. Kelly's pad for labour and OT table 

2 sets 

16. Red Bags 

As per need 

17. Black bags 

As per need 


Desirable 

1. Black Board/Overhead Projector 

2. Public Address System 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



Annexure 3A: NEWBORN CORNER IN LABOUR ROOM/OT 


Delivery rooms in Operation Theatres (OT) and in Labour 
rooms are required to have separate resuscitation 
space and outlets for newborns. Some term infants and 
most preterm infants are at greater thermal risk and 
often require additional personnel (Human Resource), 
equipment and time to optimize resuscitation. 
An appropriate resuscitation/stabilization environment 
should be provided as provision of appropriate 
temperature for delivery room & resuscitation of high- 
risk preterm infants is vital to their stabilization. 

Services at the Corner 

This space provides an acceptable environment 
for most uncomplicated term infants, but may not 
support the optimal management of newborns who 
may require referral to SNCU. Services provided in the 
Newborn Care Corner are: 

♦ Care at birth 

♦ Resuscitation 

♦ Provision of warmth 

♦ Early initiation of breastfeeding 

♦ Weighing the neonate 


Configuration of the corner 

♦ Clear floor area shall be provided in the room for 
newborn corner. It is a space within the labour 
room, 20-30 sq ft in size, where a radiant warmer 
will be kept. 

♦ Oxygen, suction machine and simultaneously- 
accessible electrical outlets shall be provided for 
the newborn infant in addition to the facilities 
required for the mother. 

♦ Clinical procedures: Standard operating 
procedures including administration of oxygen, 
airway suctioning would be put in place. 

♦ Resuscitation kit should be placed as part of 
radiant warmer. 

♦ Provision of hand washing and containment of 
infection control if it is not a part of the delivery 
room. 

♦ The area should be away from draught of air, and 
should have power connection for plugging in the 
radiant warmer. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 




Equipment and Consumables required for the Corner 


Item 

No. 

Item Description 

Essential 

Desirable 

Quantity 

Installation 

Training 

u 

Mechanical 

Electrical 

1 

Open care system: radiant warmer, fixed height, with trolley, 
drawers, 02-bottles 

E 


1 

X 

X 

X 

X 

X 

2 

Resuscitator (silicone resuscitation bag and mask with reservoir) 
hand-operated, neonate, 500 ml 

E 


1 


X 




3 

Weighing Scale, spring 

E 


1 


X 




4 

Pump suction, foot operated 

E 


1 


X 




5 

Thermometre, clinical, digital, 32-34 °C 

E 


2 






6 

Light examination, mobile, 220-12 V 

E 


1 

X 




X 

7 

Hub Cutter, syringe 

E 


1 


X 




Consumables 

8 

l/V Cannula 24 G, 26 G 

E 



9 

Extractor, mucus, 20ml, ster, disp Dee Lee 

E 


10 

Tube, feeding, CH07, L40cm, ster, disp 

E 


11 

Oxygen catheter 8 F, Oxygen Cylinder 

E 


12 

Sterile Gloves 

E 



Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 
































Annexure 4 


ESSENTIAL DRUGS FOR PHC 

All the drugs available at the Sub-Centre level should also be available at the PHC, perhaps in greater quantities, 
(if required). List of the drugs given under is not exhaustive and exclusive but has been provided for delivery of 
minimum assured services. 


Oxygen 

Inhalation 

Diazepam 

Injection 5 mg/ml 

Acetyl Salicylic Acid 

Tablets 300 mg, 75 mg & 50 mg 

Ibuprofen 

Tablets 400 mg 

Paracetamol 

Injection 150 mg/ml 

Syrup 125 mg/5ml 

Chlorpheniramine Maleate 

Tablets 4 mg 

Dexchlorpheniramine Maleate 

Syrup 0.5 mg/5 ml 

Dexamethasone 

Tablets 0.5 mg 

Pheniramine Maleate 

Injection 22.75 mg/ml 

Promethazine 

Tablets 10 mg, 25 mg 

Syrup 5 mg/5 ml 

Capsules 250 mg, 500 mg 

Ampicillin 

Capsules 250 mg, 500 mg 

Powder for suspension 125 mg/5 ml 

Benzylpenicillin 

Injection 5 lacs, 10 lacs units 

Cloxacillin 

Capsules 250 mg, 500 mg 

Liquid 125 mg/5 ml 

Procaine Benzylpenicillin 

Injection Crystalline penicillin (1 lac units) 

+ Procaine penicillin (3 lacs units) 

Cephalexin 

Syrup 125 mg/5 ml 

Gentamicin 

Injection 10 mg/ml, 40 mg/ml 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 




Ampoule 


Activated Charcoal Powder 
Antisnake Venom 
(Lyophilyzed Polyvalent Serum) 
Carbamazepine 

Phenytoin Sodium 

Mebendazole 

Albendazole 

Diethylcarbamazine Citrate 
Amoxycillin 

Glyceryl Trinitrate 

Isosorbide 5 Mononitrate 
Propranolol 

Amlodipine 

Atenolol 

Enalapril Maleate 

Methyldopa 
Tab. Metoprolol 
Hydrochlorthiazide 
Tab. Captopril 

Tab. Isosorbide Dinitrate (Sorbitrate) 

Benzoic Acid + Salicylic Acid 

Miconazole 

Framycetin Sulphate 

Neomycin +Bacitracin 

Povidone Iodine 

Silver Nitrate 

Nalidixic Acid 

Nitrofurantoin 

Norfloxacin 

Tetracycline 

Griseofulvin 

Nystatin 


Tablets 100 mg, 200 mg 
Syrup 20 mg/ml 

Capsules or Tablets 50 mg,100 mg 
Syrup 25 mg/ml 

Tablets 100 mg 
Suspension 100 mg/5 ml 

Tablets 400 mg 
Tablets 150 mg 

Powder for suspension 
125 mg/5 ml 

Sublingual Tablets 0.5 mg 
Injection 5 mg/ml 
Tablets 10 mg 

Tablets 10 mg, 40 mg 
Injection 1 mg/ml 

Tablets 2.5 mg, 5 mg, 10 mg 
Tablets 50 mg, 100 mg 

Tablets 2.5 mg, 5 mg, 10 mg 
Injection 1.25 mg/ml 
Tablets 250 mg 
Tablets 25 mg, 50 mg, 100 mg 
Tablets 12.5, 25 mg 
Tablets 25 mg 
Tablets 5 mg, 10 mg 
Ointment or Cream 6%+3% 
Ointment or Cream 2% 

Cream 0.5% 

Ointment 5 mg + 500 IU 
Solution and Ointment 5% 

Lotion 10% 

Tablets 250 mg, 500 mg 

Tablets 100 mg 

Tablets 400 mg 

Tablets or Capsules 250 mg 

Capsules or Tablets 125 mg, 250 mg 

Tablets 500,000 IU 


n Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



Metronidazole 


Dextran 

Silver Sulphadiazine 

Betamethasone 

Dipropionate Calamine 

Zinc Oxide 

Glycerin 

Benzyl Benzoate 

Benzoin Compound 

Chlorhexidine 

Ethyl Alcohol 

Gentian Violet 

Hydrogen Peroxide 

Bleaching Powder 

Formaldehyde IP 

Potassium Permanganate 

Furosemide 

Aluminium Hydroxide + Magnesium 

Hydroxide 

Omeprazole 

Ranitidine Hydrocholoride 

Domperidone 

Metoclopramide 

Dicyclomine Hydrochloride 

Hyoscine Butyl Bromide 

Bisacodyl 

Isphaghula 

Oral Rehydration Salts 
Oral Contraceptive pills 
Condoms (Nirodh) 

Copper T (380 A) 

Prednisolone 


Pessaries 100,000 III 
Tablets 200 mg, 400 mg Syrup 
Injection 6% 

Cream 1 % 

Cream/Ointment 0.05% 

Lotion 

Dusting Powder 
Solution 
Lotion 25 % 

Tincture 

Solution 5% (cone, for dilution) 
70% Solution 
Paint 0.5%, 1% 

Solution 6% 

Powder 

Solution 

Crystals for solution 
Injection, 10 mg/ml 
Tablets 40 mg 
Suspension 
Tablet 

Capsules 10, 20, 40 mg 
Tablets 150 mg, 300 mg 
Injection 25 mg/ml 
Tablets 10 mg 
Syrup 1 mg/ml 
Tablets 10 mg 
Syrup 5 mg/ml 
Injection 5 mg/ml 
Tablets 10 mg 
Injection 10 mg/ml 
Tablets or 10 mg 
Injection 20 mg/ml 
Tablets/suppository 5 mg 
Granules 

Powder for solution As per IP 


Tablets 5 mg, 10 mg 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



Glibenclamide 

Insulin Injection (Soluble) 

Metformin 

Rabies Vaccine 

Tetanus Toxoid 

Chloramphenicol Eye Drops 

Ciprofloxacin Hydrochloride Eye Drops 

Gentamicin Eye/Ear 

Miconazole 

Sulphacetamide Sodium Eye Drops 
Tetracycline Hydrochloride Eye oint 
Prednisolone Sodium Phosphate 
Xylometazoline Nasal Drops 
Diazepam 
Aminophylline 

Beclomethasone Dipropionate 
Salbutamol Sulphate 

Dextromethorphan 
Dextrose 
Normal Saline 
Potassium Chloride 
Ringer Lactate 
Sodium Bicarbonate 
Ascorbic Acid 
Calcium salts 
Multivitamins 

Broad spectrum antibiotic/antifungal 

Wax dissolving 

NVP 

STI syndromic treatment kit 
Clofazimine 

Drugs and Logistics for Immunization 

Essential 

Vaccines 

Anti rabies vaccine 
AD syringes 


Tablets 2.5 mg, 5 mg 
Injection 40 lU/ml 
Tablets 500 mg 
Injection 
Injection 

Drops/Ointment 0.4%, 1% 
Drops/Ointment 0.3% 

Drops 0.3% 

Cream 2% 

Drops 10%, 20%, 30% 

Ointment 1% 

Eye Drops 1% 

Drops 0.05%, 0.1% 

Tablets 2 mg, 5 mg, 10 mg 
Injection 25 mg/ml 
Inhalation 50 mg, 250 mg/dose 
Tablets 2 mg, 4 mg 
Syrup 2 mg/5 ml 
Inhalation 100 mg/dose 
Tablets 30 mg 

IV infusion 5% isotonic 500 ml bottle 
IV Infusion 0.9% 500 ml bottle 
Syrup 1.5 gm/5 ml, 200 ml 
IV infusion 500 ml 
Injection 

Tablets 100 mg, 500 mg 
Tablets 250 mg, 500 mg 
Tablets (As per Schedule V) 

Ear drops 
Ear drops 

Tablets and bottle (5 ml) 

As per Need 
Tablets 100 mg (loose) 


BCG, DPT, OPV, Measles, TT, Hep B, JE and 
other vaccines if any as per GOI guidelines 

As per need 

(0.5 ml & 0.1 ml) - need based 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



Reconstitution syringes 
Vaccine Carriers 


5 ml - need based 


as per need 

Zipper bag per vaccine carrier 

Vial Opener Need based 

Vitamin A 1 months supply for all the SCs directly 

under the PHC 
+ 10% buffer stock 

Note: Minimum and maximum Stock: 0.5 and 1.25 month respectively. Indent order and receipt of vaccines and logistics should be monthly 
at minimum stock level. CC & VL Assistant should coordinate timely receipt of required vaccines and Logistics from the District Stores. 

Emergency drug kit to manage Anaphylaxis and other AEFI 

Essential 

Inj. Adrenaline, 

Inj. Hydrocortisone, 

Inj. Dexamethasone, 

Ambu bag (Paediatric), 

Sterile hypodermic syringe for single use with reuse prevention feature 2ml and 5ml syringes, Needles (Size 24, 22, 20). 

Drugs and Consumables for MVA: 

♦ Syringe for local anaesthesia (10 ml) and Sterile Needle (22-24 gauge). 

♦ Chlorine solution. 

♦ Antiseptic solution (savlon). 

♦ Local Anaesthetic agent (injection 1% Lignocaine, for giving para cervical block). 

♦ Sterile saline/sterile water for flushing cannula in case of blockage. 

♦ Infection prevention equipment and supplies. 

Drugs under RCH for Primary Health Centre 

Many of these drugs are already included in the above mentioned Essential Drug List. For grouping purpose 
repetition is being done. 


Essential Obstetric Care Drug Kit for PHC 


SI. No. 

Name of the Drug/Form 

Dosage 

Quantity/Kit 

1 

Diazepam Injection IP 

Diazepam IP 5 mg/ml; 2 ml in each ampoule 

50 ampoules 

2 

Lignocaine Injection IP 

Lignocaine Hydrochloride IP 2% w/v; 30 ml in each 
vial 

10 vials 

3 

Pentazocine Injection IP 

Pentazocine Lactate IP eq. to Pentazocine 30 mg/ml; 
01 ml in each ampoule 

50 ampoules 

4 

Dexamethasone Injection IP 

Dexamethasone Sodium Phosphate IP eq. to 
Dexamethasone Phosphate, 4 mg/ml.; 02 ml in each 
ampoule 

100 ampoules 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 













SI. No. 

Name of the Drug/Form 

Dosage 

Quantity/Kit 

5 

Promethazine Injection IP 

Promethazine hydrochloride IP, 25 mg/ml; 02 ml in 
each ampoule 

50 ampoules 

6 

Methylergometrine Injection IP 

Methylergometrine maleate, 0.2 mg/ml; 01 ml in 
each ampoule 

150 ampoules 

7 

Etofylline BP plus Anhydrous 
Theophylline IP Combination 

Injection (As per standards provided) 

Etofylline BP 84.7 mg/ml & Theophylline IP eq. to 
Theophylline anhydrous, 25.3 mg/ml; 02 ml in each 
ampoule 

100 ampoules 

8 

Adrenaline Injection IP 

0.18% w/v Adrenaline tartrate or Adrenaline Tartrate 
IP eq. to Adrenaline 1 mg/ml; 01 ml in each ampoule 

50 ampoules. 

9 

Methylergometrine Tablets IP 

Methylergometrine maleate IP, 0.125 mg 

500 tablets 

10 

Diazepam Tablets IP 

Diazepam IP 5 mg 

250 tablets 

11 

Paracetamol Tablets IP 

Paracetamol IP 500 mg 

1000 tablets 

12 

Co-trimoxazole combination of 
Trimethoprim & Sulphamethoxazole 
Tablets IP (Adults) 

Trimethoprim IP 80 mg/Sulphamethoxazole IP 

400 mg 

2000 tablets 

13 

Amoxycillin Capsules IP 

Amoxycylline Trihydrate IP eq. to amoxycylline 

250 mg 

2500 capsules 

14 

Doxycycline Capsules IP 

Doxycycline Hydrochloride eq. to Doxycycline 

100 mg 

500 capsules 

15 

Metronidazole Tablets IP 

Metronidazole IP 200 mg 

1000 tablets 

16 

Salbutamol Tablets IP 

Salbutamol sulphate eq. to Salbutamol 2 mg 

1000 tablets 

17 

Phenoxymethylpenicillin Potassium 
Tablets IP 

Phenoxymethylpenicillin Potassium IP eq. to 
Phenoxymethylpenicillin 250 mg 

2000 tablets 

18 

Menadione Injection USP (Vitamin 

K3) 

Menadione USP lOmg/ml; 01 ml in each ampoule 

200 ampoules 

19 

Atropine Injection IP 

Atropine Sulphate IP 600pg/ml; 02 ml in each 
ampoule 

50 ampoules 

20 

Fluconazole Tablets (As per 
standards provided) 

Fluconazole USP 150 mg 

500 tablets 

21 

Methyldopa Tablets IP 

Methyldopa IP eq. to Methyldopa anhydrous 

250 mg 

500 tablets 

22 

Oxytocin Injection IP 

Oxytocin IP 5.0 I.U./ml; 02 ml in each ampoule 

100 ampoules 

23 

Phenytoin Injection BP 

(in solution form) 

Phenytoin Sodium IP 50 mg/ml; 02 ml in each 
ampoule 

25 ampoules 

24 

Cephalexin Capsules IP 

Cephalexin IP eq. to Cephalexin anhydrous 250 mg 

1000 capsules 

25 

Compound Sodium Lactate Injection 

IP 

0.24 % V/V of Lactic Acid (eq. to 0.32% w/v of 

Sodium Lactate), 0.6 % w/v Sodium Chloride, 0.04% 
w/v Potassium Chloride and 0.027% w/v Calcium 
Chloride; 500 ml in each bottle/pouch 

200 FFS pouches/ 
BFS Bottles 

26 

Dextrose Injection IP 

Dextrose IP, 5% w/v; 500 ml in each bottle/pouch 

100 FFS pouches/ 
BFS bottles 

27 

Sodium Chloride Injection IP 

Sodium Chloride IP 0.9% w/v; 500 ml in each bottle/ 
pouch 

100 FFS pouches/ 
BFS bottles 

28 

Lindane Lotion USP 

Lindane IP 1% w/v; each tube containing 50 ml 

100 tubes 

29 

Dextran 40 Injection IP 

Dextrans 10% w/v; 500 ml in each bottle 

5 bottles 

30 

Infusion Equipment 

IV Set with hypodermic needle 21G of 1.5" length 

200 


fm Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



































List of RTI/STI Drugs under RCH Programme 


Essential 


SI. No. 

Drug 

Strength 

Annual Quantity 1. FRU 

1 

Ciprofloxacin Hydrochloride Tablets 

500 mg 1 tablet 

1000 Tablets 

2 

Doxycycline Hydrochloride Capsules 

100 mg 1 cap 

6000 Capsules 

3 

Erythromycin Estolate Tablets 

250 mg 1 tablet 

1000 Tablets 

4 

Benzathine Penicillin Injection 

24 lakhs units/vial 

1000 vials 

5 

Tinidazole Tablets 

500 mg tablet 

5000 Tablets 

6 

Clotrimazole Cream 

100 mg pessary 

6000 Pessaries 

7 

Clotrimazole Cream 

2% w/w cream 

500 Tubes 

8 

Compound Podophyllin 

25% w/v 

5 Bottles 

9 

Gramma Benzene Hexachloride 

Application (Lindane Application) 

1 % w/v 

10 Bottles 

10 

Distilled Water 


10001 Ampoules 


List of AYUSH Drugs to be used by AYUSH doctor posted at PHCs (as per the list provided 
by the Department of AYUSH, Ministry of Health & Family Welfare, Government of 
India) 


List of 

Ayurvedic Medicines for PHCs 

20. 

Brahmi Vati 

1 . 

Sanjivani Vati 

21. 

Sirashooladi Vajra rasa 

2. 

Godanti Mishran 

22. 

Chandrakant rasa 

3. 

AYUSH-64 

23. 

Smritisagara rasa 

4. 

Lakshmi Vilas Rasa (Naradeeya) 

24. 

Kaishora guggulu 

5. 

Khadiradi Vati 

25. 

Simhanad guggulu 

6. 

Shilajatwadi Louh 

26. 

Simhanad guggulu 

7. 

Swag Kuthara rasa 

27. 

Yograj guggulu 

8. 

Nagarjunabhra rasa 

28. 

Gokshuradi guggulu 

9. 

Sarpagandha Mishran 

29. 

Gandhak Rasayan 

10. 

Punarnnavadi Mandura 

30. 

Rajapravartini vati 

11. 

Karpura rasa 

31. 

Triphala guggulu 

12. 

Kutajaghan vati 

32. 

Saptamrit Louh 

13. 

Kamadudha rasa 

33. 

Kanchanara guggulu 

14. 

Laghu Sutasekhar rasa 

34. 

Ayush Ghutti 

15. 

Arogyavardhini Vati 

35. 

Talisadi Churna 

16. 

Shankha Vati 

36. 

Panchanimba Churna 

17. 

Lashunadi Vati 

37. 

Avipattikara Churna 

18. 

Agnitundi Vati 

38. 

Hingvashtaka Churna 

19. 

Vidangadi louh 

39. 

Eladi churna 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



















40. Swadishta virechan churna 

41. Pushyanuga Churna 

42. Dasanasamskara Churna 

43. Triphala Churna 

44. Balachaturbhadra Churna 

45. Trikatu Churna 

46. Sringyadi Churna 

47. Gojihwadi kwath Churna 

48. Phalatrikadi kwath Churna 

49. Maharasnadi kwath Churna 

50. Pashnabhedadi kwath Churna 

51. Dasamoola kwath Chuna 

52. Eranda Paka 

53. Haridrakhanda 

54. Supari pak 

55. Soubhagya Shunthi 

56. Brahma Rasayana 

57. Balarasayana 

58. Chitraka hareetaki 

59. Amritarishta 

60. Vasarishta 

61. Arjunarishta 

62. Lohasava 

63. Chandansava 

64. Khadirarishta 

65. Kutajarishta 

66. Rohitakarishta 

67. Arkajwain 

68. Abhayarishta 

69. Saraswatarishta 

70. Balarishta 

71. Punarnnavasav 

72. Lodhrasava 

73. Ashokarishta 

74. Ashwagandharishta 

75. Kumaryasava 

76. Oasamoolarishta 

77. Ark Shatapushpa (Sounf) 

78. Drakshasava 


79. Aravindasava 

80. Vishagarbha Taila 

81. Pinda Taila 

82. Eranda Taila 

83. Kushtarakshasa Taila 

84. Jatyadi Taila/Ghrita 

85. Anu Taila 

86. Shuddha Sphatika 

87. Shuddha Tankan 

88. Shankha 

89. Abhraka Bhasma 

90. Shuddha Gairika 

91. Jahar mohra Pishti 

92. Ashwagandha Churna 

93. Amrita (Giloy) Churna 

94. Shatavari Churna 

95. Mulethi Churna 

96. Amla Churna 

97. Nagkesar Churna 

98. Punanrnava 

99. Dadimashtak Churna 

100. Chandraprabha Vati 

List of Unani Medicines for PHCs 

1. Arq-e-Ajeeb 

2. Arq-e-Gulab 

3. Arq-e-kasni 

4. Arq-e-Mako 

5. Barashasha 

6. Dawaul Kurkum Kabir 

7. Dwaul Misk Motadil Sada 

8. Habb-e-Aftimoon 

9. Habb-e-Bawasir Damiya 

10. Habb-e-Bukhar 

11. Habb-e-Dabba-e-Atfal 

12. Habb-e-Harmal 

13. Habb-e-Hamal 

14. Habb-e-Hilteet 

15. Habb-e-Hindi Oabiz 

16. Habb-e-Hindi Zeeqi 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



17. Habb-e-Jadwar 

18. Habb-e-Jawahir 

19. Habb-e-Jund 

20. Habb-e-Kabid Naushadri 

21. Habb-e-karanjwa 

22. Habb-e-khubsul Hadeed 

23. Habb-e-Mubarak 

24. Habb-e-Mudirr 

25. Habb-e-Mumsik 

26. Habb-e-Musaffi 

27. Habb-e-Nazfuddam 

28. Habb-e-NazIa 

29. Habb-e-Nishat 

30. Habb-e-Raal 

31. Habb-e-Rasaut 

32. Habb-e-Shaheeqa 

33. Habb-e-Shifa 

34. Habb-e-Surfa 

35. Habb-e-Tabashir 

36. Habb-e-Tankar 

37. Habb-e-Tursh Mushtahi 

38. Ltrifal Shahatra 

39. Ltrifal Ustukhuddus 

40. Ltrifal Zamani 

41. Jawahir Mohra 

42. Jawarish Jalinoos 

43. Jawarish Kamooni 

44. Jawarish Mastagi 

45. Jawarish Tamar Hindi 

46. Khamira Marwareed 

47. Kushta Marjan Sada 

48. Laooq Katan 

49. Laooq khiyarshanbari 

50. Laooq Sapistan 

51. Majoon Arad Khurma 

52. Majoon Dabeedulward 

53. Majoon Falasifa 

54. Majoon Jograj Gugal 

55. Majoon Kundur 


56. Majoon Mochras 

57. Majoon Muqawwi-e-Reham 

58. Majoon Nankhwah 

59. Majoon Panbadana 

60. Majoon Piyaz 

61. Majoon Suhag Sonth 

62. Majoon Suranjan 

63. Majoon Ushba 

64. Marham Hina 

65. Marham Kafoor 

66. Marham Kharish 

67. Marham Ouba 

68. Marham Ral Safaid 

69. QursAqaqia 

70. Qurs Dawaul shifa 

71. Qurs Deendan 

72. QursGhafis 

73. Qurs Habis 

74. Ours Mulaiyin 

75. Ours Sartan Kafoor 

76. Qurs Mulaiyin 

77. Qurs Sartan Kafoori 

78. QursZaranbad 

79. Qurs Ziabetus Khaas 

80. Qurs Ziabetus sada 

81. Qurs-e-Afsanteen 

82. Qurs-e-Afsanteen 

83. Qurs-e-Sartan 

84. Qutoor-e-Ramad 

85. Raughan Baiza-e-Murgh 

86. Raughan Bars 

87. Raughn Kamila 

88. Raughan Qaranful 

89. Raughan Surkh 

90. Raughan Turb 

91. Roghan Malkangni 

92. Roghan Qust 

93. SafppfAmla 

94. SafoofAmla 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



95. SafoofChutki 

96. Safoof Dama Haldiwala 

97. SafofHabis 

98. Safoof Muqliyasa 

99. Safoof Mustehkam Dandan 

100. Safoofnaushadar 

101. Safoof Salilan 

102. Safoof Teen 

103. Sharbat Anjabar 

104. Sharbat Buzoori Motadil 


105. Sharbat faulad 

106. Sharbat Khaksi 

107. Sharbat sadar 

108. Sharbat Toot Siyah 

109. Sharbat Zufa 

110. Sunoon Mukhrij-e-Rutoobat 

111. Tiryaq Nazla 

112. Tiryaq Pechish 

113. Zuroor-e-Oula 


List of Sidha Medicines for PHCs 


1. 

Amai out parpam 

- 

2. 

Amukkarac curanam 

- 

3. 

Anna petic centuram 

- 

4. 

Antat Tailam 

- 

5. 

Atotataik kuti nir 

- 

6. 

Aya kantac centuram 

- 

7. 

Canku parpam 

- 

8. 

Canta cantirotayam 

- 

9. 

Cilacattu parpam 

- 

10. 

Civanar Amirtam 

- 

11. 

Comput Tinir 

- 

12. 

Cuvacakkutori mathirai 

- 

13. 

Elatic curanam 

- 

14. 

Incic Curanam 

- 

15. 

Iraca Kanti Mrluku 

- 

16. 

Kantaka racayanam 

- 

17. 

Kapa Curak Kutinir 

- 

18. 

Karappan tailam 

- 

19. 

Kasturik Karuppu 

- 

20. 

Korocanai Mattirai 

- 

21. 

Kunkiliya Vennay 

- 

22. 

Manturati Ataik Kutinir 

- 

23. 

Mattan Tailam 

- 

24. 

Mayanat Tailam 

- 

25. 

Muraukkan Vitai Mattirai 

- 

26. 

Nantukkal parpam 

- 

27. 

Nelikkai llakam 

_ 


For diarrhea 

For general debility, insomnia, Flyper acidity 
For anemia 

For febrile convulsions 

cough and cold 

aneamia 

anti allergic 

fevers and jaundice 

Urinary infection, white discharge 

anti allergic, bronchial asthma 

indigestion, loss of appetite 

asthma and cough 

allergy, fever in primary complex 

indigestion, flatulence 

skin 9 infections, venereal infections 

skin diseases and urinary infections 

fevers 

eczema 

fever, cough, allergic bronchitis 
sinus, fits 

external application for piles and scalds 
anaemia 

ulcers and diabetic carbuncle 

swelling, inflammation 

intestinal worms 

diuretic 

tonic 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 




28. 

Neruncik Kutinir 

diuretic 

29. 

Nilavakaic Curanam 

constipation 

30. 

Nila Vempuk Kutinir 

fever 

31. 

Omat Tinir 

indigestion 

32. 

Parankip pattaic curanam 

skin diseases 

33. 

Pattuk karuppu 

DUB, painful menstruation 

34. 

Tayirc Cuntic Curanam 

diarrhea, used as ORS 

35. 

Terran kottai llakam 

tonic, used in bleeding piles 

36. 

Tiripalaic Curanam 

styptic and tonic 

37. 

Visnu Cakkaram 

pleurisy 


Patent & Proprietary Drug 

1. 777 oil - for psoriasis 


List of Homeopathy Medicines for PHCs 


SI. No. 

Name of Medicine 

Potency 

1 

Abrotanum 

30 

2 

Abrotanum 

200 

3 

Absinthium 

Q 

4 

Acconite Nap. 

6 

5 

Acnite Nap. 

30 

6 

Aconite Nap. 

200 

7 

Aconite Nap. 

1M 

8 

Aconite Nap. 

30 

9 

Actea Racemosa 

200 

10 

Actea Racemosa 

30 

11 

Aesculus Hip 

200 

12 

Aesculus Hip 

1M 

13 

Agaricus musca 

30 

14 

Agaricus musca 

200 

15 

Allium cepa 

6 

16 

Allium cepa 

30 

17 

Allium cepa 

200 

18 

Aloe soc. 

6 

19 

Aloe soc. 

30 

20 

Aloe soc. 

200 

21 

Alumina 

30 

22 

Alumina 

200 

23 

Ammon carb 

30 

24 

Ammon Carb 

200 

25 

Ammon Mur 

30 

26 

Ammon Mur 

200 


SI. No. 

Name of Medicine 

Potency 

27 

Ammon Phos 

30 

28 

Ammon Phos 

200 

29 

Anacardium Ori. 

30 

30 

Anacardium Ori. 

200 

31 

Anacardium Ori. 

1M 

32 

Angustura 

Q 

33 

Anthracinum 

200 

34 

Anthracinum 

1M 

35 

Antim Crud 

30 

36 

Antim Crud 

200 

37 

Antim Crud 

1M 

38 

Antimonium Tart 

3X 

39 

Antimonium Tart 

6 

40 

Antimonium Tart 

30 

41 

Antimonium Tart 

200 

42 

Apis mel 

30 

43 

Apis mel 

200 

44 

Apocynum Can 

Q 

45 

Apocynum Can 

30 

46 

Arg. Met 

30 

47 

Arg. Met 

200 

48 

Arg. Nit. 

30 

49 

Arg. Nit. 

200 

50 

Arnica Mont. 

Q 

51 

Arnica Mont. 

30 

52 

Arnica Mont. 

200 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



































































SI. No. 

Name of Medicine 

Potency 

97 

Calcarea Carb 

200 

98 

Calcarea Carb 

1M 

99 

Calcarea Fluor 

30 

100 

Calcarea Fluor 

200 

101 

Calcarea Fluor 

1M 

102 

Calcarea Phos 

30 

103 

Calcarea Phos 

200 

104 

Calcarea Phos 

1M 

105 

Calendula Off. 

Q 

106 

Calendula Off. 

30 

107 

Calendula Off. 

200 

108 

Camphora 

6 

109 

Camphora 

200 

110 

Cannabis Indica 

6 

111 

Cannabis Indica 

30 

112 

Cantharis 

Q 

113 

Cantharis 

30 

114 

Cantharis 

200 

115 

Capsicum 

30 

116 

Capsicum 

200 

117 

Carbo Animalis 

30 

118 

Carbo Animalis 

200 

119 

Carbolic Acid 

30 

120 

Carbolic Acid 

200 

121 

Carduus Mar 

Q 

122 

Carduus Mar 

6 

123 

Carduus Mar 

30 

124 

Carcinosinum 

200 

125 

Carcinosinum 

1M 

126 

Cassia sophera 

Q 

127 

Caulophyllum 

30 

128 

Caulophyllum 

200 

129 

Causticum 

30 

130 

Causticum 

200 

131 

Causticum 

1M 

132 

Cedron 

30 

133 

Cedron 

200 

134 

Cephalendra Indica 

Q 

135 

Chamomilla 

6 

136 

Chamomilla 

30 

137 

Chamomilla 

200 

138 

Chamomilla 

1M 

139 

Chelidonium 

Q 

140 

Chelidonium 

30 


SI. No. 

Name of Medicine 

Potency 

53 

Arnica Mont 

1M 

54 

Arsenicum Alb. 

6 

55 

Arsenicum Alb. 

30 

56 

Arsenicum Alb. 

200 

57 

Arsenicum Alb. 

1M 

58 

Aurum Met. 

30 

59 

Aurum Met. 

200 

60 

Bacillinum 

200 

61 

Bacillinum 

1M 

62 

Badiaga 

30 

63 

Badiaga 

200 

64 

Baptisia Tinct 

Q 

65 

Baptisia Tinct 

30 

66 

Baryta Carb. 

30 

67 

Baryta Carb. 

200 

68 

Baryta Carb. 

1M 

69 

Baryta Mur. 

3X 

70 

Belladonna 

30 

71 

Belladonna 

200 

72 

Belladonna 

1M 

73 

Beilis Perennis 

Q 

74 

Beilis Perennis 

30 

75 

Benzoic Acid 

30 

76 

Benzoic Acid 

200 

77 

Berberis vulgaris 

Q 

78 

Berberis vulgaris 

30 

79 

Berberis vulgaris 

200 

80 

Blatta Orientalis 

Q 

81 

Blatta Orientalis 

30 

82 

Blumea Odorata 

Q 

83 

Borax 

30 

84 

Brovista 

30 

85 

Bromium 

30 

86 

Bryonia Alba 

3X 

87 

Bryonia Alba 

6 

88 

Bryonia Alba 

30 

89 

Bryonia Alba 

200 

90 

Bryonia Alba 

1M 

91 

Bufo rana 

30 

92 

Carbo veg 

30 

93 

Carbo veg 

200 

94 

Cactus G. 

Q 

95 

Cactus G. 

30 

96 

Calcarea Carb 

30 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 







































































































SI. No. 

Name of Medicine 

Potency 

185 

Drosera 

200 

186 

Dulcamara 

30 

187 

Dulcamara 

200 

188 

Echinacea 

Q 

189 

Echinacea 

30 

190 

Eqyusetum 

30 

191 

Eqyusetum 

200 

192 

Eupatorium Perf. 

3X 

193 

Eupatorium Perf. 

30 

194 

Eupatorium Perf. 

200 

195 

Euphrasia 

Q 

196 

Euphrasia 

30 

197 

Euphrasia 

200 

198 

Ferrum Met. 

200 

199 

Flouric Acid 

200 

200 

Formica Rufa 

6 

201 

Formica Rufa 

30 

202 

Gelsimium 

3X 

203 

Gelsimium 

6 

204 

Gelsimium 

30 

205 

Gelsimium 

200 

206 

Gelsimium 

1M 

207 

Gentiana Chirata 

6 

208 

Glonoine 

30 

209 

Glonoine 

200 

210 

Graphites 

30 

211 

Graphites 

200 

212 

Graphites 

1M 

213 

Guaiacum 

6 

214 

Guaiacum 

200 

215 

Hamamelis Vir 

Q 

216 

Hamamelis Vir 

6 

217 

Hamamelis Vir 

200 

218 

Helleborus 

6 

219 

Helleborus 

30 

220 

Hepar Sulph 

6 

221 

Hepar Sulph 

30 

222 

Hepar Sulph 

200 

223 

Hepar Sulph 

1M 

224 

Hippozaeniim 

6 

225 

Hydrastis 

Q 

226 

Hydrocotyle As. 

Q 

227 

Hydrocotyle As. 

3X 

228 

Hyocyamus 

200 


SI. No. 

Name of Medicine 

Potency 

141 

Chin Off. 

Q 

142 

Chin Off. 

6 

143 

Chin Off. 

30 

144 

Chin Off. 

200 

145 

Chininum Ars 

3X 

146 

Chininum Sulph 

6 

147 

Cicuta Virosa 

30 

148 

Cicuta Virosa 

200 

149 

Cina 

Q 

150 

Cina 

3X 

151 

Cina 

6 

152 

Cina 

30 

153 

Cina 

200 

154 

Coca 

200 

155 

Coculus Indicus 

6 

156 

Coculus Indicus 

30 

157 

Coffea Cruda 

30 

158 

Coffea Cruda 

200 

159 

Colchicum 

30 

160 

Colchicum 

200 

161 

Colocynthis 

6 

162 

Colocynthis 

30 

163 

Colocynthis 

200 

164 

Crataegus Oxy 

Q 

165 

Crataegus Oxy 

3X 

166 

Crataegus Oxy 

30 

167 

Crataegus Oxy 

200 

168 

Crotalus Horridus 

200 

169 

Croton Tig. 

6 

170 

Croton Tig. 

30 

171 

Condurango 

30 

172 

Condurango 

200 

173 

Cuprum met. 

30 

174 

Cuprum met. 

200 

175 

Cynodon Dactylon 

Q 

176 

Cynodon Dactylon 

3X 

177 

Cynodon Dactylon 

30 

178 

Digitalis 

Q 

179 

Digitalis 

30 

180 

Digitalis 

200 

181 

Dioscorea 

30 

182 

Dioscorea 

200 

183 

Diphtherinum 

200 

184 

Drosera 

30 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES m 







































































































SI. No. 

Name of Medicine 

Potency 

273 

Lachesis 

1M 

274 

Lapis Albus 

3X 

275 

Lapis Albus 

30 

276 

Ledum Pal 

30 

277 

Ledum Pal 

200 

278 

Ledum Pal 

1M 

279 

Lillium Tig. 

30 

280 

Lillium Tig. 

200 

281 

Lillium Tig. 

1M 

282 

Labella inflata 

Q 

283 

Labella inflata 

30 

284 

Lucopodum 

30 

285 

Lucopodum 

200 

286 

Lucopodum 

1M 

287 

Lyssin 

200 

288 

Lyssin 

1M 

289 

Mag. Carb 

30 

290 

Mag. Carb 

200 

291 

Mag phos 

30 

292 

Mag phos 

200 

293 

Mag phos 

1M 

294 

Medorrhinum 

200 

295 

Medorrhinum 

1M 

296 

Merc Cor 

6 

297 

Merc Cor 

30 

298 

Merc Cor 

200 

299 

Merc Sol 

6 

300 

Merc Sol 

30 

301 

Merc Sol 

200 

302 

Merc Sol 

lm 

303 

Mezeruim 

30 

304 

Mezeruim 

200 

305 

Millefolium 

Q 

306 

Millefolium 

30 

307 

Muriatic Acid 

30 

308 

Muriatic Acid 

200 

309 

Mu rex 

30 

310 

Mu rex 

200 

311 

Mygale 

30 

312 

Naja Tri 

30 

313 

Naja Tri 

200 

314 

Natrum Ars 

30 

315 

Natrum Ars 

200 

316 

Natrum Carb 

30 


SI. No. 

Name of Medicine 

Potency 

229 

Hypericum 

Q 

230 

Hypericum 

30 

231 

Hypericum 

200 

232 

Hypericum 

lm 

233 

Ignatia 

30 

234 

Ignatia 

200 

235 

Ignatia 

lm 

236 

Lodium 

30 

237 

Lodium 

200 

238 

Lodium 

lm 

239 

Lpecacuanha 

Q 

240 

Lpecacuanha 

3X 

241 

Lpecacuanha 

6 

242 

Lpecacuanha 

30 

243 

Lpecacuanha 

200 

244 

Lris Tenax 

6 

245 

Lris Veriscolor 

30 

246 

Lris Veriscolor 

200 

247 

Jonosia Ashoka 

Q 

248 

Justicia Adhatoda 

Q 

249 

Kali Broamtum 

3X 

250 

Kali Carb 

30 

251 

Kali Carb 

200 

252 

Kali Carb 

1M 

253 

Kali Cyanatum 

30 

254 

Kali Cyanatum 

200 

255 

Kali Lod 

30 

256 

Kali lopd 

200 

257 

Kali Mur 

30 

258 

Kali Mur 

200 

259 

Kali Sulph 

30 

260 

Kalmia Latifolium 

200 

261 

Kalmia Latifolium 

30 

262 

Kalmia Latifolium 

30 

263 

Kreosotum 

200 

264 

Kreosotum 

1M 

265 

Kreosotum 

Q 

266 

Lac Defloratum 

30 

267 

Lac Defloratum 

200 

268 

Lac Defloratum 

1M 

269 

Lac Can 

30 

270 

Lac Can 

200 

271 

Lachesis 

30 

272 

Lachesis 

200 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 








































































































SI. No. 

Name of Medicine 

Potency 

361 

Psorinum 

1M 

362 

Pulsatilla 

30 

363 

Pulsatilla 

200 

364 

Pulsatilla 

1M 

365 

Pyrogenium 

200 

366 

Pyrogenium 

1M 

367 

Ranunculus bulbosus 

30 

368 

Ranunculus bulbosus 

200 

369 

Ranunculus repens 

6 

370 

Ranunculus repens 

30 

371 

Ratanhia 

6 

372 

Ratanhia 

30 

373 

Rauwolfia serpentina 

Q 

374 

Rauwolfia serpentina 

6 

375 

Rauwolfia serpentine 

30 

376 

Rhododendron 

30 

377 

Rhododendron 

200 

378 

Rhus tox 

3X 

379 

Rhus tox 

6 

380 

Rhus tox 

30 

381 

Rhus tox 

200 

382 

Rhus tox 

1M 

383 

Robinia 

6 

384 

Robinia 

30 

385 

Rumex criispus 

6 

386 

Rumex criispus 

30 

387 

Ruta gr 

30 

388 

Ruta gr 

200 

389 

Sabal serreulata 

Q 

390 

Sabal serreulata 

6 

391 

Sabina 

3X 

392 

Sabina 

6 

393 

Sabina 

30 

394 

Sang can 

30 

395 

Sang can 

200 

396 

Sarsaprilla 

6 

397 

Sarsaprilla 

30 

398 

Secalecor 

30 

399 

Secalecor 

200 

400 

Selenium 

30 

401 

Selenium 

200 

402 

Senecio aureus 

6 

403 

Sepia 

30 

404 

Sepia 

200 


SI. No. 

Name of Medicine 

Potency 

317 

Natrum Carb 

200 

318 

Natrum Carb 

1M 

319 

Natrum Mur 

6 

320 

Natrum Mur 

30 

321 

Natrum Mur 

200 

322 

Natrum Mur 

1M 

323 

Natrum Phos 

30 

324 

Natrum Sulph 

30 

325 

Natrum Sulph 

200 

326 

Natrum Sulph 

1M 

327 

Nitric Acid 

30 

328 

Nitric Acid 

200 

329 

Nitric Acid 

1M 

330 

Nux Vomica 

6 

331 

Nux Vomica 

30 

332 

Nux Vomica 

200 

333 

Nux Vomica 

1M 

334 

Nyctenthus Arbor 

Q 

335 

Ocimum Sanctum 

Q 

336 

Oleander 

6 

337 

Petroleum 

30 

338 

Petroleum 

200 

339 

Petroleum 

1M 

340 

Phosphoric Acid 

Q 

341 

Phosphoric Acid 

30 

342 

Phosphoric Acid 

200 

343 

Phosphoric Acid 

1M 

344 

Phosphorus 

30 

345 

Phosphorus 

200 

346 

Phosphorus 

1M 

347 

Physostigma 

30 

348 

Physostigma 

200 

349 

Plantago Major 

Q 

350 

Plantago Major 

6 

351 

Plantago Major 

30 

352 

Platina 

200 

353 

Platina 

1M 

354 

Plumbum Met 

200 

355 

Plumbum Met 

1M 

356 

Podophyllum 

6 

357 

Podophyllum 

30 

358 

Podophyllum 

200 

359 

Prunus Spinosa 

6 

360 

Psorinum 

200 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES m 







































































































SI. No. 

Name of Medicine 

Potency 

443 

Thuja occidentalis 

1M 

444 

Thyroidinum 

200 

445 

Thyroidinum 

1M 

446 

Tuberculinum bov 

200 

447 

Uran. Nit 

3X 

448 

Urtica urens 

Q 

449 

Urtica Urens 

6 

450 

Ustilago 

6 

451 

Verst Bib 

6 

452 

Vibrurnan opulus 

6 

453 

Vibrurnan opulus 

30 

454 

Vibrurnan opulus 

200 

455 

Vipera tor 

200 

456 

Vipera tor 

1M 

457 

Verat viride 

30 

458 

Verat viride 

200 

459 

Viscum album 

6 

460 

Wyethia 

6 

461 

Wyethia 

30 

462 

Wyethia 

200 

463 

Zinc met 

200 

464 

Zinc met 

1M 

465 

Zinck phos 

200 

466 

Zinck phos 

1M 

467 

Globules 

20 No. 

468 

Suger of milk 


469 

Glass piles 

5 ml 

470 

Glass piles 

10 ml 

471 

Butter Paper 


472 

Blank Sticker Ointment 

'A* 3/2 inch 

473 

Aesculus Hip 


474 

Arnica 


475 

Calendula 


477 

Cantharis 


478 

Hamamelis Vir 


479 

Twelve Biochemic Medicines 

6x & 12x 

480 

Chinerairia Eye Drop 


481 

Mullein Oil (Ear Drop) 



SI. No. 

Name of Medicine 

Potency 

405 

Sepia 

1M 

406 

Silicea 

30 

407 

Silicea 

200 

408 

Silicea 

1M 

409 

Spigellia 

30 

410 

Spongia tosta 

6 

411 

Spongia tosta 

30 

412 

Spongia tosta 

200 

413 

Stannum 

30 

414 

Stannum 

200 

415 

Staphisagria 

30 

416 

Staphisagria 

200 

417 

Staphisagria 

1M 

418 

Sticta pulmonaria 

6 

419 

Sticta pulmonaria 

30 

420 

Stramonium 

30 

421 

Stramonium 

200 

422 

Sulphur 

30 

423 

Sulphur 

200 

424 

Sulphur 

1M 

425 

Sulphuric acid 

6 

426 

Sulphuric acid 

30 

427 

Syphilimum 

200 

428 

Syphilimum 

1M 

429 

Tabacum 

30 

430 

Tabacum 

200 

431 

Tarentula cubensis 

6 

432 

Tarentula cubensis 

30 

433 

Tellurium 

6 

434 

Tellurium 

30 

435 

Terebinthina 

6 

436 

Terebinthina 

30 

437 

Terminalia arjuna 

Q 

438 

Terminalia arjuna 

3X 

439 

Terminalia arjuna 

6 

440 

Thuja occidentalis 

Q 

441 

Thuja occidentalis 

30 

442 

Thuja occidentalis 

200 


KKU Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



























































































Annexure 5 


UNIVERSAL PRECAUTIONS 


The universal precautions should be understood and 
applied by all medical and paramedical staff involved 
in providing health services. The basic elements 
include: 

♦ Hand washing thoroughly with soap and running 
water: 

• Before carrying out the procedure. 

• Immediately if gloves are torn and hand is 
contaminated with blood or other body fluids. 

• Soon after the procedure, with gloves on and 
again after removing the gloves. 

♦ Barrier Precautions: using protective gloves, mask, 
waterproof aprons and gowns. 

♦ Strict asepsis during the operative procedure 
and cleaning the operative site. Practise the "no 
touch technique" e.g., any instrument or part of 
instrument which is to be inserted in the cervical 
canal must not touch any non-sterile object/ 
surface prior to insertion. 

♦ Decontamination and cleaning of all instruments 
immediately after each use. 

♦ Sterilisation/high level disinfection of instruments 
with meticulous attention. 

♦ Appropriate waste disposal. 


Sterilisation of instruments 

1. Instruments and gloves must be autoclaved 

2. In case autoclaving is not possible, the instruments 
must be fully immersed in water in a covered 
container and boiled for at least 20 minutes. 

Sterilisation of Copper T insertion 
instruments 

♦ Copper T is available in a pre-sterilised pack. 

♦ Ensure that the instruments and gloves used 
for insertion are autoclaved or fully immersed 
in a covered container and boiled for at least 
20 minutes. 

Sterilisation and maintenance of MVA 
equipment 

The four basic steps are: 

♦ Decontamination of instruments, gloves, cannulae 
and syringes in 0.5% chlorine solution. 

♦ Cleaning in lukewarm water using a detergent. 

♦ Sterilisation/High Level Disinfection. 

♦ Storage and re-assembly of instruments. 

The person responsible for cleaning must wear utility 
gloves. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES m 




Annexure 6 


CHECK LIST FOR MONITORING BY EXTERNAL MECHANISM 


A simple check list that can be used by NGOs/PRI. 
Information should be collected by group discussion 
with people availing of PHC service. 

Number of patients used the out-patient services in 
the past quarter: 

♦ How many of them are from SC, ST, and other 
backward classes? 

♦ How many of them are women? 

♦ How many of them are children? 

♦ How many are below poverty line? 

♦ Are generic drugs prescribed? 

Availability of Medicines in the PHC 

Is the Anti-snake venom regularly available in the PHC? 

Yes/No/No information 

Is the anti-rabies vaccine regularly available in the PHC? 
Yes/No/No information 

Are the drugs for Malaria regularly available in the PHC? 
Yes/No/No information 

Are the drugs for Tuberculosis regularly available in the 
PHC? 

Are drugs for treatment of Leprosy (MDT Blister Packs) 
and its complications regularly available in the PHC ? 

Are all medicine given free of charge in the PHC?: 

♦ Yes, all the medicines are given free of charge. 

♦ Some medicines are given free of charge while 
others have to be brought from medical store. 

♦ Most of the medicines have to be bought from 
medical store. 

♦ No information. 


♦ Which medicines have to be bought from the 
medical store? (If possible give the doctor's 
prescription along with the checklist.) 

Availability of curative services 

♦ Is the primary management of wounds done at 
the PHC? (stiches, dressing, etc.) 

♦ Is the primary management of fracture done at 
the PHC? 

♦ Are minor surgeries like draining of abscess etc. 
done at the PHC? 

♦ Is the primary management of cases of poisoning 
done at the PHC? 

♦ Is the primary management of burns done at 
PHC? 

Availability of Reproductive and Child 
Health Services 

♦ Are Ante-natal clinics organized by the PHC 
regularly? 

♦ Is the facility for normal delivery available in the 
PHC for 24 hours? 

• Are deliveries being monitored through 
Partograph? 

• How many deliveries conducted in the past 
quarter? 

• How many of them belong to SC, ST and other 
backward classes? 

♦ Is the facility for tubectomy and vasectomy 
available at the PHC? 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 




♦ Is the facility for internal examination for 
gynaecological conditions available at the PHC? 

♦ Is the treatment for gynaecological disorders 
like leucorrhea, menstrual disorders available at 
the PHC? 

• Yes, treatment is available. 

• No, women are referred to other health 
facilities. 

• Women do not disclose their illness. 

• No idea. 

♦ Is there any fixed day health services for adolescent 
Health? 

♦ Is there any fixed day heath services for family 
planning? 

♦ If women do not usually go to the PHC, then what 
is the reason behind it? 

♦ Is the Counseling for Family Planning given during 
MCH Services. 

♦ Is the facility for Medical Termination of Pregnancy 
(MTP) (abortion) available at the PHC? 

♦ Is there any pre-condition for doing MTP such 
as enforced use of contraceptives after MTP or 
asking for husband's consent for MTP? 

• No precondition. 

• Precondition only for some women. 

• Precondition for all women. 

• No idea. 

♦ Do women have to pay for Medical Termination 
of Pregnancy? 

♦ Is treatment for anaemia given to both pregnant 
as well as non-pregnant women? 

• All women given treatment for anaemia. 

• Only pregnant women given treatment for 
anaemia. 

• No women given treatment for anaemia. 

♦ Are the low birth weight babies managed at the 
PHC? 

♦ Is there a fixed immunization day? 

♦ Are BCG and Measles vaccine given regularly at 
the PHC? 

♦ Is the treatment of children with pneumonia 
available at the PHC? 

♦ Is the management of children suffering from 
diarrhoea with severe dehydration done at the 
PHC? 


Availability of laboratory services at the 
PHC 

♦ Is blood examination for anaemia done at the PHC? 

♦ Is detection of malaria parasite by blood smear 
examination done at the PHC? 

♦ Is sputum examination done to diagnose 
tuberculosis at the PHC? 

♦ Is urine examination for pregnant women done at 
the PHC? 

General questions about the functioning of the PHC. 

♦ Was there an outbreak of any of the following 
diseases in the PHC area in the last three years? 

• Malaria 

• Measles 

• Gastroenteritis (diarrhoea and vomiting). 

• Jaundice. 

• Fever with loss of consciousness/convulsions. 

If yes, did the PHC staff respond immediately to stop 
the further spread of the Epidemic. 

What steps did the PHC staff take? 

How is the behaviour of PHC staff with the patient? 

• Courteous 

• Casual/indifferent 

• Insulting/derogatory 

Is there corruption in terms of charging extra money for 
any of the service provided? 

Does the doctor do private practice during or after the 
duty hours? 

Are there instances where patients from a particular 
social background (SC, ST, minorities, villagers) have 
faced derogatory or discriminatory behaviour or service 
of poorer quality? 

Have patients with specific health problems (HIV/AIDS, 
leprosy suffered discrimination in any form? Such issues 
may be recorded in the form of specific instances. 

Are women patients interviewed in an environment 
that ensures privacy and dignity? 

Are examinations on women patients conducted in 
the presence of a women attendant and procedures 
conducted under conditions that ensure privacy? 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES m 




Is the PHC providing in patient care? 

Do patients with chronic illness receive adequate care 
and drugs for the entire requirement? 

If the PHC is not well equipped to provide the services 
needed, are patient transported immediately without 


delay, with all the relevant papers, to a site where the 
desired service is available? 

Is facility for transportation of patients including 
pregnancy and labour cases available? 

Is there a publicly display mechanism, whereby a 
complaint/grievance can be registered? 


ETj Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



Annexure 7 


JOB RESPONSIBILITIES OF MEDICAL OFFICER AND OTHER 
STAFF AT PHC 


Duties of Medical Officer, Primary 
Health Centre 

The Medical Officer of Primary Health Centre (PHC) 
is responsible for implementing all activities grouped 
under Health and Family Welfare delivery system in PHC 
area. He/she is responsible in his individual capacity, 
and as over all in charge. It is not possible to enumerate 
all his tasks. However, by virtue of his designation, it is 
implied that he will be solely responsible for the proper 
functioning of the PHC, and activities in relation to RCH, 
NRHM and other National Programs. The detailed job 
functions of Medical Officer working in the PHC are as 
follows: 

Curative Work 

♦ The Medical Officer will organize the dispensary, 
outpatient department and will allot duties to the 
ancillary staff to ensure smooth running of the 
OPD. 

♦ He/she will make suitable arrangements for the 
distribution of work in the treatment of emergency 
cases which come outside the normal OPD hours. 

♦ He/she will organize laboratory services for cases 
where necessary and within the scope of his 
laboratory for proper diagnosis of doubtful cases. 

♦ He/she will make arrangements for rendering 
services for the treatment of minor ailments 
at community level and at the PHC through the 
Health Assistants, Health Workers and others. 

♦ He/she will attend to cases referred to him/her 


by Health Assistants, Health Workers, ASHA/ 
Voluntary Health Workers where applicable, Dais 
or by the School Teachers. 

♦ He/she will screen cases needing specialized 
medical attention including dental care 
and nursing care and refer them to referral 
institutions. 

♦ He/she will provide guidance to the Health 
Assistants, Health Workers, Health Guides and 
School Teachers in the treatment of minor 
ailments. 

♦ He/she will cooperate and coordinate with other 
institutions providing medical care services in his/ 
her area. 

♦ He/she will visit each Sub-Centre in his/her area 
at least once in a month on a fixed day not only 
to check the work of the staff but also to provide 
curative services. This will be possible only if more 
than one Medical Officer is posted in PHC. 

♦ Organize and participate in the "Village Health 
and Nutrition Day" at Anganwadi Centre once in 
a month. 

Preventive and Promotive Work 

The Medical Officer will ensure that all the members 
of his/her Health Team are fully conversant with the 
various National Health & Family Welfare Programs 
including NRHM to be implemented in the area 
allotted to each Health functionary. He/she will further 
supervise their work periodically both in the clinics and 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES RT 




in the community setting to give them the necessary 
guidance and direction. 

He/she will prepare operational plans and ensure 
effective implementation of the same to achieve the laid 
down targets under different National Health and Family 
Welfare Programmes. The MO will provide assistance 
in the formulation of village health and sanitation plan 
through the ANMs and coordinate with the PRIs in his/ 
her PHC area. 

He/she will keep close liaison with Block Development 
Officer and his/her staff, community leaders and various 
social welfare agencies in his/her area and involve 
them to the best advantage in the promotion of health 
programmes in the area. 

Wherever possible, the MO will conduct field 
investigations to delineate local health problems for 
planning changes in the strategy for the effective 
delivery of Health and Family welfare services. He/she 
will coordinate and facilitate the functioning of AYUSH 
doctor in the PHC. 

Reproductive and Child Health Programme 

MCH and Family Welfare Services 

All MCH and Family Welfare services as assured at PHC 
should be made available: 

♦ The MO will promote institutional delivery and 
ensure that the PHC functions as 24 x 7 service 
delivery PHC, wherever it is supposed to be so. 

♦ He/she will provide leadership and guidance 
for special programmes such as in nutrition, 
prophylaxis against nutritional anemia amongst 
mothers and children, adolescent girls, Prophylaxis 
against blindness and Vitamin A deficiency amongst 
children (1-5 years) and also will coordinate with 
ICDS. 

♦ He/she will provide MCH services such as ante¬ 
natal, intra-natal and postnatal care of mothers 
and infants and child care through clinics at the 
PHC and Sub-Centres. 

♦ He/she will ensure through his/her health team 
early detection of diarrhoea and dehydration. 

♦ He/she will arrange for correction of moderate 
and severe dehydration through appropriate 
treatment. 


♦ He/she will ensure through his/her health team 
early detection of pneumonia cases and provide 
appropriate treatment. 

♦ He/she will supervise the work of Health 
supervisors and Health workers in treatment of 
mild and moderate ARI. 

♦ He/she will visit schools in the PHC area at regular 
intervals and arrange for medical check up, 
immunization and treatment with proper follow 
up of those students found to have defects. 

♦ He/she will be responsible for proper and 
successful implementation of Family Welfare 
Programme in PHC area, including education, 
motivation, delivery of services and after care. 

♦ He/she will be squarely responsible for giving 
immediate and sustained attention to any 
complications the acceptor develops due to 
acceptance of Family Planning methods. 

♦ He/she will extend motivational advice to all 
eligible patients he/she sees in the OPD. 

♦ He/she will get himself trained in tubectomy, 
wherever possible and organize tubectomy camps. 

♦ He/she will get training in NSV and IUCD, organize 
and conduct vasectomy camps. 

♦ He/she will seek help of other agencies such as 
District Bureau, Mobile Van and other association/ 
voluntary organizations for tubectomy/IUCD 
camps and MTP services. 

♦ The following duties are common to all the activities 
coming under package of services for MCH: 

a. He/she will provide leadership to his/her 
team in the implementation of Family Welfare 
Programme in the PHC catchments area. 

b. He/she will ensure adequate supplies of 
equipment, drugs, educational material and 
contraceptives required for the services 
programmes. 

♦ Adequate stocks of ORS to ensure availability of 
ORS packets throughout the year. 

♦ Monitor all cases of diarrhea especially for children 
between 0-5 years. 

♦ Recording and reporting of all details due to 
diarrhea especially for children between 0-5 years. 

♦ Organize chlorination of wells and coordinate with 
accountable authorities for sanitation. 


n Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



♦ Training of all health personnel like ASHAs, 
Anganwadi Workers, Dais and others who are 
involved in health care regarding relevant National 
Health Programmes including ORT. 

Universal Immunization Programme (UIP) 

♦ He/she will plan and implement UIP in line with 
the latest policy and ensure cent percent coverage 
of the target population in the PHC (i.e. pregnant 
mothers and new born infants). 

♦ He/she will ensure adequate supplies of vaccines 
miscellaneous items required from time to time 
for the effective implementation of UIP. 

♦ He/she will ensure proper storage of vaccines and 
maintenance of cold chain equipment, planning and 
monitoring of performance and training of staff. 

National Vector Borne Disease Control Programme 

(NVBDCP) 

Malaria 

♦ He/she will be responsible for all NVBDCP 
operations in his/her PHC area and will be 
responsible for all administrative and technical 
matters. 

♦ He/she should be completely acquainted with all 
problems and difficulties regarding surveillance 
and spray operations in his/her PHC area and be 
responsible for immediate action whenever the 
necessity arises. 

♦ The Medical Officer will guide the Health Workers 
and Health Assistants on all treatment schedules, 
especially radical treatment with primaquine. 
As far as possible he/she should investigate all 
malaria cases in the area with less than API 2 
regarding their nature and origin, and institute 
necessary measures in this connection. 

♦ He/she should ensure that prompt remedial 
measures are carried out by the Health Assistant, 
about positive cases detected in areas with API 
less than two. 

♦ He/she should give specific instructions to them 
in this respect, while sending the result of blood 
slides found positive. 

♦ Activities related to Quality assurance of malaria 
microscopy and RDT. 


♦ Ensuring logistic supply to all the Sub-Centres and 
ASHAs. 

♦ Referral services for severe and complicated 
malaria cases and provisioning for their 
transportation. 

♦ Organizing training of ASHAs and supervising 
their skill and knowledge of use of RDT and anti- 
malarial drugs. 

♦ He/she will check the microscopic work of the 
Laboratory Technician and dispatch prescribed 
per-centage of such slides to the Zonal 
Organization/Regional Office for Health and 
Family Welfare (Government of India) and State 
headquarters for cross checking as laid down 
from time to time. 

♦ Stratify Sub-Centres areas based on API to identify 
high risk Sub-Centres i.e. API 2 and above, API 5 
and above and develop micro action plan for 
carrying out Indoor Residual Spray. 

♦ Supervising the skill of spray squads in spray 
activities and spray operations in the field. 

♦ Identification of high risk Sub-Centres for 
distribution of LLIN. 

♦ Organisation of village level treatment camps of 
community owned bednets. 

♦ He/she should, during his/her monthly meetings, 
ensure proper accounts of slides and anti malaria 
drugs issued to the Health Workers and Health 
Assistant Male. 

♦ The publicity material and mass media equipment 
received from time to time will be properly 
distributed or affixed as per the instructions from 
the district organization. 

♦ He/she should consult the guidelines on 
Management and treatment of cerebral malaria 
and treat cerebral malaria cases as and when 
required. 

♦ He/she should ensure that all categories of staff 
in the periphery administering radical treatment 
to the malaria positive cases should follow the 
guidelines of NVBDCP and in case any side effect 
is observed in a case, who is receiving primaquine, 
the drug is stopped by the worker and such case 
should immediately be referred to PHC. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



Filaria 

♦ He/she will be responsible for all Elimination of 
Lymphatic Filariasis (ELF) activities in his/her area 
and will be responsible for all administrative and 
technical matters. 

♦ He/she should be completely acquainted with all 
problems and difficulties in line-listing of filaria 
cases, providing morbidity management services 
and conducting Mass Drug Administration (MDA). 

♦ He/she will be responsible for all health education 
activities in his/her area. 

♦ He will be responsible for Mf survey in night 
in sentinel and random sites in his area, if it is 
identified. 

♦ He will ensure that all records/reports are sent in 
time & kept safe. 

Where Kala Azar and Japanese Encephalitis are endemic 
the following additional duties are expected from him. 

Kala Azar: 

♦ He/she will be responsible for all anti Kala Azar 
operations in his/her area and will be responsible 
for all administrative and technical matters. 

♦ He/she should be completely acquainted with all 
problems and difficulties regarding surveillance, 
diagnosis, treatment and spray operations in his/ 
her PHC areas and be responsible for immediate 
action whenever the necessity arises. 

♦ He/she will guide the health workers and health 
assistants on all treatment schedules, criteria 
for suspecting a case to be of Kala Azar, control 
activities, complete treatment and to approach 
for immediate medical care. 

♦ He/she will check the rapid (rK-39) test conducted 
by the Laboratory Technicians. 

♦ He/she will organize and supervise the Kala Azar 
search operations in his/her area. 

♦ He should, during his monthly meetings ensure 
proper accounts of drugs, Chemicals, Glass-ware 
etc. 

♦ He/she will be responsible for all Health Education 
activities in his/her area. 

♦ He/she will be overall responsible for all Kala 
Azar control activities in his/her areas Including 


advance planning for spray operations and micro 
action plan. One Medical Officer who can be 
made solely responsible for Kala Azar control may 
be identified. 

♦ He/she will be responsible for regular reporting 
to the District Malaria Officer/Civil Surgeon, 
Monitoring, Record Maintenance of adequate 
provisions of Drugs, Chemicals, etc. 

Acute Encephalitis Syndrome (AES)/Japanese 

Encephalitis (JE): 

♦ He/she will be responsible for all AES/JE prevention 
and control activities in his/her area and will be 
responsible for all administrative and technical 
matters. 

♦ He/she will be overall responsible for all AES/JE 
control activities in his/her areas including spray 
operations. For the purpose, he/she may identify 
one Medical Officer who can be made solely 
responsible for AES/JE control. 

♦ He/she should be completely acquainted with all 
problems and difficulties regarding surveillance, 
diagnosis, treatment and spray operations in his/ 
her PHC area and be responsible for immediate 
action whenever the necessity arises. 

♦ He/she will guide the Health Workers and Health 
Assistants on all treatment schedules, criteria for 
suspecting a case to be of JE and the approaches 
for motivation of the people for accepting JE 
control activities and to approach for immediate 
medical care to prevent death. 

♦ He/she will arrange admission & appropriate 
management of AES/JE cases at PHC level or make 
arrangements for referral to CHC/District Hospital. 

♦ He/she will arrange to collect and transport sera 
sample to the identified virology lab and fully 
participate in JE Vaccination Programme. 

♦ He/she will be responsible for all health education 
activities in his/her area. 

♦ He/she will be responsible for regular reporting 
to the District Malaria Officer, Civil Surgeon, 
Monitoring, Record Maintenance of adequate 
provisions for drugs etc. 

Dengue/Chikungunya 

♦ He/she will be responsible for all Dengue/ 
Chikungunya prevention and control activities 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



in his/her area and will be responsible for all 
administrative and technical matters. 

♦ He/she should be completely acquainted with all 
problems and difficulties regarding surveillance, 
diagnosis, treatment and vector control activities 
in his/her PHC area and be responsible for 
immediate action whenever the necessity 
arises. 

♦ He/she will arrange admission & appropriate 
management of Dengue/Chikungunya cases at 
PHC level or make arrangements for referral 
to CHC. 

♦ He/she will arrange to collect and transport sera 
sample to the identified Sentinel Surveillance 
Hospitals for confirmation. 

♦ He/she will be responsible for all health education 
activities in his/her area. 

♦ He/she will be responsible for regular reporting 
to the District Malaria Officer, Civil Surgeon, 
Monitoring, Record Maintenance of adequate 
provisions for drugs etc. 

Control of Communicable Diseases 

♦ He/she will ensure that all the steps are being 
taken for the control of communicable diseases 
and for the proper maintenance of sanitation in 
the villages. 

♦ He/she will take the necessary action in case of 
any outbreak of epidemic in his/her area. 

♦ Perform duties under the Integrated Disease 
Surveillance Project. 

Leprosy 

♦ Diagnose cases, ensure registration and 
management of leprosy & its complications with 
due counselling. 

♦ Ensure regularity and completion of treatment 
and retrieval of defaulters. 

♦ Ensure regular updation of records, availability 
of adequate stock of MDT, Prednisolone, other 
supportive drugs and materials and timely 
submission of reports. 

♦ Refer and follow up all the cases with grade-2 
disability to district hospitals for assessment and 
management. 


Tuberculosis 

♦ He/she will provide facilities for early detection 
of cases of Tuberculosis, confirmation of their 
diagnosis and treatment. 

♦ He/she will ensure that all cases of Tuberculosis 
take regular and complete treatment. 

♦ Ensure functioning of Microscopic Centre (if the 
PHC is designated so) and provision of DOTS. 

Sexually Transmitted Diseases (STD) 

♦ He/she will ensure that all cases of STD are 
diagnosed and properly treated and their contacts 
are traced for early detection. 

♦ He/she will provide facilities for RPR test, for all 
pregnant women at the PHC. 

♦ He will receive STI syndromic treatment training 
and provide syndromic treatment for STIs. 

School Health 

♦ He/she will visit schools in the PHC area at regular 
intervals and arrange for Medical Checkups, 
immunization and treatment with proper follow 
up of those students found to have defects. 

National Programme for Control of Blindness 

♦ He/she will make arrangements for rendering: 

• Treatment for minor ailments. 

• Testing of vision. 

♦ He/she will refer cases to the appropriate institutes 
for specialized treatment. 

♦ He/she will extend support to mobile eye care 
units. 

Training 

♦ He/she will organize training programmes 
including continuing education for the staff of 
PHC and ASHA under the guidance of the district 
health authorities and Health & Family Welfare 
Training centres. 

♦ He/she will ensure that staff is sent for appropriate 
trainings. 

♦ He/she will maintain and update a data base of 
staff and the trainings undergone by the them. 

♦ He/she will provide opportunity to the staff for 
using the knowledge, skills and competencies 
learnt during the training. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



♦ He/she will assess functioning of analysis and 
arrange for retraining if required. 

♦ He/she will ensure appropriate infrastructure for 
trainings like venue, training aids, training material 
and other logistics. 

♦ He/she will organize training programs for ASHA 
with focus on developing appropriate skills as per 
local need. 

♦ He/she will also make arrangements/provide 
guidance to the Health Assistant Female and 
Health Worker Female in organizing training 
programmes for ASHAs. 

Administrative Work 

♦ He/she will supervise the work of staff working 
under him/her. 

♦ He/she will ensure general cleanliness inside and 
outside the premises of the PHC and also proper 
maintenance of equipment under his/her charge. 

♦ He/she will ensure to keep up to date inventory 
and stock register of all the stores and equipment 
supplied to him/her and will be responsible for its 
correct accounting. 

♦ He/she will get indents prepared timely for drugs, 
instruments, vaccines, ORS and contraceptive etc. 
sufficiently in advance and will submit them to 
the appropriate health authorities. 

♦ He/she will check the proper maintenance of the 
transport given in his/her charge. 

♦ He/she will scrutinize the programmes of his/her 
staff and suggest changes if necessary to suit the 
priority of work. 

♦ He/she will get prepared and display charts in his/ 
her own room to explain clearly the geographical 
areas, location of peripheral health units, 
morbidity and mortality, health statistics and 
other important information about his/her area. 

♦ He/she will hold monthly staff meetings with 
his/her own staff with a view to evaluating the 
progress of work and suggesting steps to be taken 
for further improvements. 

♦ He/she will ensure the regular supply of medicines 
and disbursements in Sub-Centres and to ASHAs. 

♦ He/she will ensure the maintenance of the 
prescribed records at PHC level. 


♦ He/she will receive reports from the periphery, 
get them compiled and submit them regularly to 
the district health authorities. 

♦ He/she will keep notes of his/her visits to the area 
and submit every month his/her tour report to 
the CMO. 

♦ He/she will discharge all the financial duties 
entrusted to him/her. 

♦ He/she will discharge the day to day administrative 
duties and administrative duties pertaining to new 
schemes. 

Other NCD Programmes 

♦ Diagnosis and treatment of common ear diseases. 

♦ Early detection of Hearing Impairment cases and 
referral to District Hospital (Appropriate level). 

♦ Refers suspected cancer cases with early warning 
signals. 

♦ Diagnosis and treatment of common mental 
disordersandto provide referral service.Treatment 
of psychosis, depression, anxiety disorders and 
epilepsy could be done at this level after training. 

♦ IEC activities for prevention and early detection of 
mental disorders. 

♦ Early detection, treatment as far as possible and 
referral of Diabetes Mellitus, Hypertension, CVD 
and Stroke. 

♦ 'Weekly geriatric clinic at PHC' for providing 
complete health assessment of elderly persons, 
Medicines, Management of chronic diseases and 
referral services. 

♦ Basic Physical Medicine and Rehabilitation 
services including preventive, therapy and referral 
services. 

♦ Health promotion related IEC and BCC Activities. 

Job Responsibilities of Health 
Educator 

Although it is desirable to have one Health Educator in 
every PHC. However, at least one Health Educator should 
be available in each block i.e. at block headquarter 
level PHC. He/she will be under the immediate 
administrative control of the PHC Medical Officer. 
He/she will be responsible for providing support to all 
health and family welfare programmes in the block. 


n Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



Duties and Functions 

♦ He/she will have with him/her all information 
relevant to development activities in the block, 
particularly concerning health and family 
welfare, and will utilize the same for programme 
planning. 

♦ He/she will develop his/her work plan in 
consultation with the Medical Officer of his/her 
PHC and the concerned Block Extension Educator. 

♦ He/she will collect, analyse and interpret the data 
in respect of extension education work in his/her 
PHC area. 

♦ He/she will be responsible for regular maintenance 
of records of educational activities, tour 
programmes, daily dairies and other registers, and 
will ensure preparation and display of relevant 
maps and charts in the PHC. 

♦ He/she will assist the Medical Officer, PHC in 
conducting training of health workers and ASHAs. 

♦ He/she will organize the celebration of health 
days and weeks and publicity programmes at local 
fairs, on market days, etc. 

♦ He/she will organize orientation training for health 
and family welfare workers, opinion leaders, local 
medical practitioners, school teachers, dais and 
other involved in health and family welfare work. 

♦ He/she will assist the organizing mass 
communication programmes like film shows, 
exhibition, lecturers and dramas. 

♦ He/she will supervise the work of field workers in 
the area of education and motivation. 

♦ He/she will supply educational material on health 
and family welfare to health workers in the block. 

♦ While on tour he/she will verify entries in the 
eligible couple register for every village and do 
random checking of family welfare acceptors. 

♦ While on tour he/she will check the available stock 
of conventional contraceptive with the depot 
holders and the kits with HWs and ASHAs. 

♦ He/she will help field workers in winning over 
resistant cases and drop-outs in the health and 
family welfare programmes. 

♦ He/she will maintain a complete set of educational 
aids on health and family welfare for his/her own 
use and for training purpose. 


♦ He/she will organize population education and 
health education sessions in schools and for out- 
of school children and youth. 

♦ He/she will maintain a list of prominent acceptors 
of family planning methods and opinion leaders 
village wise and will try to involve them in 
the promotion of health and family welfare 
programmes. 

♦ He/she will prepare a monthly report on the 
progress of educational activities in the block and 
send it to the higher authority. 

♦ Health promotion related IEC and BCC Activities 

Job Responsibilities of Health 
Assistant Female (LHV - Lady 
Health Visitor) (Female 
Supervisor) 

Note: Under the Multipurpose Workers Scheme a Health Assistant 
Female is expected to cover a population of 30,000 (20,000 in tribal 
and hilly areas) in which there are six Sub-Centres, each with the 
Health Worker Female. The Health Assistant Female will carry out 
the following dudes: 

Supervision and guidance 

♦ Supervise and guide the Health Worker Female, 
Dais and guide ASHA in the delivery of health care 
service to the community. 

♦ Strengthen the knowledge and skills of the Health 
Worker Female. 

♦ Helps the Health Worker Female in improving her 
skills in working in the community. 

♦ Help and guide the Health Worker Female in planning 
and organizing her programmes of activities. 

♦ Visit each Sub-Centre at least once a week on a 
fixed day to observe and guide the Health Worker 
Female in her day to day activities. 

♦ Assess fort nightly the progress of assessment 
report work of the Health Worker Female and 
submit with respect to their duties under various 
National Health Programmes. 

♦ Carry out supervisory home visits in the area of the 
Health Worker Female with respect to their duties 
under various National Health Programmes. 

♦ Supervise referral; of all pregnant women for RPR 
testing at PHC. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



Team Work 

♦ Help the health workers to work as part of the 
health team. 

♦ Coordinate her activities with those of the Health 
Assistant Male and other health personnel 
including the dais. 

♦ Coordinate the health activities in her area with 
the activities of workers of other departments 
and agencies and attend meeting at PHC level. 

♦ Conduct regular staff meetings with the health 
workers in coordination with the Health Assistant 
(Male). 

♦ Attend staff meetings at the Primary Health 
Centre. 

♦ Assist the Medical Officer of the Primary Health 
Centre in the organization of the different health 
services in the area. 

♦ Participate as a member of the health team in mass 
camps and campaigns in health programmes. 

♦ Facilitate and Participate in activities of village 
Health & Nutrition Day. 

Supplies, equipment and maintenance of 
Sub-Centres 

♦ In collaboration with the Health Assistant Male, 
check at regular intervals the stores available at 
the Sub-Centre and help in the procurement of 
supplies and equipment. 

♦ Check that the drugs at the Sub-Centre are 
properly stored and that the equipment is well 
maintained. 

♦ Ensure that the Health Worker Female maintains 
her general kit, midwifery kit and Dai kit in the 
proper way. 

♦ Ensure that the Sub-Centre is kept clean and is 
properly maintained. 

Records and Reports 

♦ Scrutinize the maintenance of records by the 
Health Worker Female and guide her in their 
proper maintenance. 

♦ Review reports received from the Health Workers 
Female, consolidate them and submit monthly 
reports to the Medical Officer of the Primary 
Health Centre. 


Where Kala-Azar is endemic, additional duties are 

♦ She will supervise the work of Health Worker 
Female during concurrent visit and will check 
whether the worker is performing her duties. 

♦ She should check minimum of 10% of the house in 
a village to verify that the Health Worker Female 
really visited those houses ad carried her job 
properly. Her job of identifying suspected Kala- 
Azar cases and ensuring complete treatment has 
been done properly. 

♦ She will carry with her the proper record forms, 
diary and guidelines for identifying suspected 
Kala-Azar cases. 

♦ She will be responsible along with Health Assistant 
Male for ensuring complete treatment of Kala- 
Azar patients in his area. 

♦ She will be responsible along with Health Assistant 
Male for ensuring complete coverage during the 
spray activities and search operation. 

♦ She will also undertake health education 
activities particularly through interpersonal 
communication, arrange group meetings with 
leaders and organizing and conducting training 
of community leaders with the assistance of 
health team. 

Where Japanese Encephalitis is endemic her 
specific duties are as below 

♦ She will supervise the work of Health Worker 
Female during concurrent visit and will check 
whether the worker is performing her duties. 

♦ She should check along with minimum of 10% of the 
house in a village to verify that the Health Worker 
Female really visited those houses and carried her 
job properly. Her job of identifying suspected JE 
cases and ensuring complete treatment has been 
done properly. 

♦ She will carry with her the proper record forms, diary 
and guidelines for identifying suspected JE cases. 

♦ She will be responsible for ensuring complete 
treatment of JE patients in her area. 

♦ She will be responsible along with Health Assistant 
Male for ensuring complete coverage during the 
spray activities and search operation. 

♦ She will also undertake health education activities 
particularlythrough interpersonal communication, 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



arranging group meetings with leaders and 
organizing and conduction training of community 
leaders with the assistance of health team. 

Training 

♦ Organize and conduct training for Dais/ASHA with 
the assistance of the Health Worker Female. 

♦ Assist the Medical Officer of the Primary Health 
Centre in conducting training programme for 
various categories of health personnel. 

Maternal and Child Health 

♦ Conduct weekly MCH clinics at each Sub-Centre 
with the assistance of the Health Worker Female 
and dais. 

♦ Respond to calls from the Health Worker Female, 
the Health Worker Male, the health guides and 
the trained Dais and render the necessary help. 

♦ Conduct deliveries when required at PHC 
level and provide domiciliary and midwifery 
services. 

Family Welfare and Medical Termination of 
Pregnancy 

♦ She will ensure through spot checking that Health 
Worker Female maintains up-to date eligible 
couple registers all the times. 

♦ Conduct weekly family planning clinics along 
with the MCH clinics at each Sub-Centre with the 
assistance of the Health Worker Female. 

♦ Personally motivate resistant case for family 
planning. 

♦ Provide information on the availability of services 
for medical termination of pregnancy and for 
sterilization. Refer suitable cases for MTP to the 
approved institutions. 

♦ Guide the Health Worker Female in establishing 
female depot holders for the distribution of 
conventional contraceptives and train the depot 
holders with the assistance of the health workers 
female. 

♦ Provide IUCD services and their follow up. 

♦ Assist M.O. PHC in organization of family planning 
camps and drives. 


Nutrition 

♦ Ensure that all cases of malnutrition among 
infants and young children (0-5 years) are given 
the necessary treatment and advice and refer 
serious cases to the Primary Health Centre. 

♦ Ensure that iron and folic acid vitamin A are 
distributed to the beneficiaries as prescribed. 

♦ Educate the expectant mother regarding breast 
feeding. 

Universal Immunization Programme 

♦ Supervise the immunization of all pregnant 

women and children (0-5 years). 

♦ She will also guide the MPW (M) and MPW(F) to 
procure supplies organize immunization camps 
provide guidance for maintaining cold chain, 
storage of vaccine, health education and also in 
immunizations. 

♦ Supervise the immunization of all pregnant 

women and infants. 

♦ Follow the directions given in Manual of Health 
Worker (female) under National Immunization 
Programme. 

Acute Respiratory Infection 

♦ Ensure early diagnosis of pneumonia cases. 

♦ Provide suitable treatment to mild/moderate 
cases of ARI. 

♦ Ensure early referral in doubtful/severe cases. 

School Health 

♦ Assist Medical Officer in school health services. 

Primary Medical Care 

♦ Ensure treatment for minor ailments, provide 
ORS & First Aid for accidents and emergencies 
and refer cases beyond her competence to the 
Primary Health Centre or nearest hospital. 

Health Education 

♦ Carry out educational activities for MCH, Family 
Welfare, Nutrition and Immunization, Control of 
blindness, Dental care and other National Health 
Programmes like leprosy, Tuberculosis and NCD 
programmes with the assistance of the Health 
Worker Female. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



♦ Arrange group meetings with the leaders and 
involve them in spreading the message for various 
health programmes. 

♦ Organize and conduct training of women leaders 
with the assistance of the Health Worker Female. 

♦ Organize and utilize Mahila Mandal, Teachers 
and other women in the Community in the 
family welfare programmes, including ICDS 
personnel. 

Job Responsibilities of Health 
Assistant Male 

Under the Multipurpose workers scheme a Health 
Assistant Male is expected to cover a population 
of 30,000 (20,000 in tribal and hilly areas) in which 
there are six Sub-Centres, each with the health 
worker male. 

The Health Assistant Male will carry out 
the following duties 

Supervise and guidance 

♦ Supervise and guide the Health Worker Male, 
in the delivery of health care service to the 
community. 

♦ Strengthen the knowledge and skills of the Health 
Worker Male. 

♦ Help the Health Worker Male in improving his 
skills in working in the community. 

♦ Help and guide the Health Worker Male in 
planning and organizing is programmes of 
activities. 

♦ Visit each Health Worker Male at least once a 
week on a fixed day to observe and guide him in 
his day to day activities. 

♦ Assess monthly the progress of work of the Health 
Worker Male and submit with assessment report to 
the Medical Officer of the Primary Health Centre. 

♦ Carry out supervisory home visits in the area of 
the Health Worker Male. 

Team Work 

♦ Help the health workers to work as part of the 
health team. 


♦ Coordinate his activities with those of the Health 
Assistant Female and other health personnel 
including the Dais and Health Guide. 

♦ Coordinate the health activities in his area with 
the activities of workers of other departments 
and agencies and attend meetings. 

♦ Conduct staff meetings fort nightly with the health 
workers in coordination with the Health Assistant 
Female at one of the Sub-Centres by rotation. 

♦ Attend staff meetings at the Primary Health Centre. 

♦ Assist the Medical Officer of the Primary Health 
Centre in the organization of the different health 
services. 

♦ Participateasa memberof the healthteam in mass 
camps and campaigns in health programmes. 

♦ Assist the Medical Officer of the Primary Health 
Centre in conducting training programmes for 
various categories of health personnel. 

♦ Facilitate and Participate in the activities of village 
Health & Nutrition Day. 

Supplies, equipment and maintenance of 

Sub-Centres 

♦ In collaboration with the Health Assistant Female, 
check at regular intervals the stores available at 
the Sub-Centres and ensure timely placement of 
indent for and procure the supplies and equipment 
in good time. 

♦ Check that the drugs at the Sub-Centre are properly 
stored and that the equipment is well maintained. 

♦ Ensure that the Health Worker Male maintains his 
general kit proper way. 

Records and Reports 

♦ Scrutinize the maintenance of records by the 
Health Worker Male and guide him in their proper 
maintenance. 

♦ Review records received from the Health Worker 
Male, consolidate them and submit reports to the 
Medical Officer of the Primary Health Centre. 

Malaria 

♦ He will supervise the work of Health Worker Male 
during concurrent visits and will check whether 
the worker is performing his duty as laid down in 
the schedule. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



♦ He should check minimum of 100 of the houses in 
a village to verify the work of the Health Worker 
Male. 

♦ He will carry with him a kit for collection of blood 
smears during his visit to the field and collect thick 
and thin smears from any fever case he comes 
across. 

♦ He will be responsible for prompt radical 
treatment to positive cases in his area. He will 
plan, execute and supervise the administration 
of radical treatment in consultation with PHC 
Medical Officer. 

♦ Supervise the spraying of insecticides during local 
spraying along with the Health Worker Male. 

Where Kala-Azar is endemic additional duties are: 

♦ He will supervise the work of Health Worker 
Female during concurrent visit and will check 
whether the worker is performing her duties. 

♦ He should check minimum of 10% of the house 
in a village to verify that the Health Worker Male 
really visited those houses and carried his job 
properly. His job of identifying suspected Kala- 
Azar cases and ensuring complete treatment has 
been done properly. 

♦ He will carry with him the proper record forms, 
diary and guidelines for identifying suspected 
Kala-Azar cases. 

♦ He will be responsible for ensuring complete 
coverage treatment of Kala-Azar patients in his 
area. 

♦ He will be responsible for ensuring complete 
coverage during the spray activities and search 
operation. 

♦ He will also undertake health education activities 
particularlythrough interpersonal communication, 
arranging group meetings with leaders and 
organizing and conducting training of community 
leaders with the assistance of health team. 

Where Japanese Encephalitis is endemic his specific 
duties are as below: 

♦ He will supervise the work of Health Worker female 
during concurrent visit and will check whether the 
worker is performing his duties. 

♦ He should check minimum of 10% of the house in a 
village to verify that the Health Worker Male really 


visited those houses and carried his job properly. 
His job of identifying suspected encephalitis cases 
and ensuring motivation of community has been 
done properly. 

♦ He will carry with him the proper record forms, 
diary and guidelines for identifying suspected 
encephalitis cases. 

♦ He will also undertake health education activities 
particularlythrough interpersonal communication, 
arranging group meetings with leaders and 
organizing and conduction training of community 
leaders with the assistance of health team. 

Where Lymphatic Filariasis is Endemic, His specific 

Duties are as Follows: 

♦ He will supervise the work of Health Worker (Male) 
and volunteers during concurrent visit and will check 
whether the worker is performing his duties. 

♦ He should check minimum 10% of the houses in 
a village to verify that the health worker (male) 
really visited those houses and carried his job 
properly. 

♦ He will carry with him the proper record forms, 
diary and guidelines for Mass Drug Administration 
(MDA) and drug distribution. 

♦ He will be responsible for ensuring coverage and 
compliance of drug above 80% during MDA. 

♦ He will also undertake health education 
activities particularly through interpersonal 
communication, arranging group meetings with 
leaders and organizing and conducting training 
of community leaders with the assistance of 
health team. 

Communicable Disease 

♦ Be alert to the sudden outbreak of epidemics 
of diseases, such as diarrhea/dysentery, fever 
with rash, jaundice, encephalitis, diphtheria, 
whooping cough or tetanus poliomyelitis, tetanus 
neonatarum, acute eye infections and take all 
possible remedial measures. 

♦ Take the necessary control measures when any 
noticeable disease is reported to him. 

♦ Take measures for control of stray dogs with 
the help of the Health Worker Male and local 
authorities. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



Leprosy 

♦ Ensure that all the cases of leprosy take regular 
and complete treatment and ensure retrieval of 
defaulter 

♦ Assess and monitor grade 1 & 2 disability for 
leprosy disabled patients. 

Tuberculosis 

♦ Check whether all cases under treatment for 
Tuberculosis are taking regular treatment, 
motivate defaulters to take regular treatment and 
bring them to the notice of the Medical Officer, 
PHC. 

♦ Ensure that all cases of Tuberculosis take regular 
and complete treatment and inform the Medical 
Officer, PHC about any defaulters to treatment. 

Non Communicable Diseases 

Health Promotion and IEC Activities 

Environmental Sanitation 

♦ Community sanitation 

♦ Safe water sources 

♦ Soakage pits 

♦ Kitchen gardens 

♦ Manure pits 

♦ Compost pits 

♦ Sanitary latrines 

♦ Smokeless chullas and supervise their 
construction. 

♦ Supervise the chlorination of water sources 
including wells. 

Universal Immunization Programme 

♦ Conduct immunization of all school going children 
with the help of the Health Workers. 

Family Welfare 

♦ Personally motivate resistant case for family 
planning. 

♦ Guide the Health Worker Male in establishing 
family planning depot holders and supervise the 
functioning. 

♦ Assist M.O. PHC in organization of family planning 
camps and drives. 


♦ Provide information on the availability of services 
for medical termination of pregnancy and refer 
suitable cases to the approved institutions. 

♦ Ensure follow up of all cases of vasectomy, 
tubectomy, IUCD and other family planning 
acceptors. 

Job Responsibilities of Laboratory 
Technician 

NOTE: All Primary Health Centre and subsidiary health Centre have 
been provided with a post of laboratory technician/assistant. The 
laboratory technician will be under the direct supervision of the 
Medical Officer, PHC. The laboratory technician will carry out the 
following duties: 

General Laboratory Procedures 

1. Manage the cleanliness and safety of the 
laboratory. 

2. Ensure that the glassware and equipment are kept 
clean. 

3. Handle properly and ensure maintenance of the 
microscope. 

4. Sterilize the equipment as required. 

5. Dispose of specimens and infected material in a 
safe manner. 

6. Maintain the necessary records of investigations 
done and submit the reports to the Medical 
Officer, PHC. 

7. Prepare monthly reports regarding his work. 

8. Indent for supplies for the laboratory though the 
Medical Officer, PHC and ensure the safe storage 
of materials received. 

Laboratory Investigations (Minimum) 

1. Carry out examination of urine 

i. Specific gravity and PH. 

ii. Test for glucose. 

iii. Test for protein (albumen). 

iv. Test for bile pigments and bile salts. 

v. Test for ketone bodies. 

vi. Microscopic examination. 

2. Carry out examination of stools 

i. Gross examination. 

ii. Microscopic examination. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 




3. Carry out examination of blood 

i. Collection of blood specimen by finger prick 
technique. 

ii. Hemoglobin estimation. 

iii. RBC count. 

iv. WBC count (total and differential). 

v. Preparation, staining and examination of thick 
and thin blood smears for malaria parasites 
and for microfilaria. 

vi. Erythrocyte Sedimentation Rate. 

vii. VDRL. 

viii. Blood grouping and Rh typing. 

ix. Rapid HIV and STI Screening test 

4. Carry out examination of sputum 

Preparation, staining and examination of sputum 

smears for Mycobacterium tuberculosis (wherever 

the PHC is recognized as microscopy centre under 

RNTCP). 

5. Carry out examination of semen 

i. Microscopic examination. 

ii. Sperm count motility, morphology etc. 

6. Prepare throat swabs 

i. Collection of throat swab and examination for 
diphtheria. 

7. Test samples of drinking water 

i. Testing of samples for gross impurities. 

ii. Rapid tests for detecting fecal contamination 
by H 2 S strip test. 

iii. Residual chlorine in drinking water by testing 
kits. 

8. Under NVBDCP, in endemic areas, he will also 

i. Conduct rapid diagnostic test for Kala-azar for 
suspected case of Kala-Azar (rk 39) in OPD or 
referred by ASHAs or Health Workers. 

ii. Conduct Aldehyde test, maintain all records 
of sera samples drawn, aldehyde tests and 
also assist in Kala-Azar search operations. 

iii. Collect sera samples from suspected 
encephalitis cases and send to sentinel 
surveillance laboratory for testing, maintain 
all records of sera samples drawn and their 
results. 


JOB RESPONSIBILITY OF 
IMMUNIZATION STAFF AT PHC/ 
CHC/SUB-DIVISIONAL/SUB- 
DI STRICT/D I STRICT HOSPITAL 

Cold Chain and Vaccine Logistic 
(CC&VL) Assistant 

Qualification & Experience 

Graduate or Diploma in Pharmacy/Nursing with 1-2 
years experience in medical store management. 

Job Responsibilities 

1. Support the MO l/C in UIP implementation, 
focusing on improved management of the cold 
chain inclusive of basic preventive maintenance 
of cold chain equipment, vaccine & logistics 
management (goods clearance, elimination 
of overstocking and stock outs of vaccine) and 
injection safety including proper waste disposal. 

2. Ensure monthly reporting of Immunization data 
including vaccine usage, VAPP and AEFI cases as 
per GOI guidelines and annual progress report. 

3. Assist MO l/C to conduct periodic programme 
reviews and undertake action on operational 
procedures specifically logistics affecting the 
implementation and management of the UIP. 

4. Maintaining of accurate stock records and periodic 
review of supply requisitions. 

5. Assist MO l/C in preparing annual vaccine forecasts 
of the PHC/CHC. 

6. Provide technical guidance to the PHC/CHC level 
staff on cold chain management and conduct 
periodical evaluation for the purpose of repair 
and replacement. 

7. Undertake field visits to session sites and provide 
supportive supervision to health care workers to 
maintain proper cold chain for vaccines, logistics 
and waste disposal. 

8. Assist MO during monthly meetings and provide 
feedback/refresher trainings to workers on issues 
related to cold chain & vaccine logistics. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



9. Assist MO in micro planning for adequate & timely 
supply of vaccines & logistics through alternate 
vaccine delivery mechanism. 

10. Recording of temperature in the Temp, record 
Book twice daily as per guidelines. 

11. Any other immunization related work as specified 
by Medical Officer. 

Cold Chain Handler (Helper) 

Qualification and Experience 

Matriculation Pass with l-2years of working experience 

in stores. 

Job Description 

1. Cleaning cold chain and immunization room. 

2. Ice packs - filling, arranging in DF for conditioning, 
packing cold box, returning vaccines and ice packs 
from carriers when they return from field. 

3. Equipment - cleaning and defrosting ILR & DF, 
cleaning and preventive maintenance of cold 
boxes and vaccine carriers. 

4. Unloading and dispatch of vaccines and logistics. 


5. Other immunization related work as specified by 
DIO/CCO/VLM. 

Data Handler 

Qualification & Experience 

Desirable 

The Candidate must be a Graduate in Commerce/Science/ 
Arts with Diploma in Computer Application from a 
recognized institution with 2 yrs experience in the related 
area. Permanent resident of the district concerned. 

Job Description 

1. The Computer Assistant shall undertake data 
entry of immunization report, vaccine and logistics 
receipt, release and logbook data. 

2. Fle/She shall compile the information on a monthly 
basis & forward the data to the DIO/ADIO/state. 

3. Fle/She shall be responsible for operation & up 
keep of FI MIS Software. 

4. Fle/She shall under take visit to the field for 
training of field functionaries, collection of data & 
validation. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



Annexure 8 


CHARTER OF PATIENTS' RIGHTS FOR PRIMARY HEALTH 
CENTRE 


Citizen's Charter 

Mission Statement 

Access to services: The PHC provides medical care to all 
patients without any discrimination of gender, cast, or 
religion. The Medical Officer is responsible for ensuring 
the delivery of services. 

Standards of Services: This PHC provides quality of 
service on the minimum assured services set by Indian 
Public Health Standards (IPHS). 

Your Rights in the PHC 

1. Right to access to all the services provided by the 
PHC. 

2. Right to Information-including information relating 
to your treatment. 

3. Right of making decision regarding treatment. 

4. Right for privacy and confidentiality. 

5. Right to religious and cultural freedom. 

6. Right for Safe and Secure Treatment. 

7. Right for grievance redressal. 

Services Availablle 

a. OPD services: Location, Name of doctors, timings, 
and user fees/charges. 

b. Indoor services: Location and number of beds. 

c. 24 x 7 Emergency, referral and normal delivery 
services. 

d. Laboratory services: Location, timings and 
charges. 


e. Family Welfare services: Location, and timings of 
family Planning clinics. Forth coming schedule of 
sterilization camps. 

f. Immunization services: Location and days of 
vaccination. 

g. AYUSH services: location, name of doctor, timings 
and user fees/charges. 

Medical Facilities Not Available:. 

Complaints & Grievances: 

♦ Every complaint will be duly acknowledged. 

♦ We aim to settle your genuine complaints 

within.days of its receipt. 

♦ Suggestions/Complaint boxes are also provided at 

enquiry counter and.in the PHC. 

♦ If we cannot, we will explain the reasons and the 
time we will take to resolve. 

Your Responsibilities: 

♦ Please do not inconvenience other patients. 

♦ Please help us in keeping the PHC and its 
surroundings neat and clean. 

♦ Beware of Touts. If you find any such person in 
premises tell the PHC authorities. 

♦ The PHC is a “No Smoking Zone" and smoking is a 
Punishable Offence. 

♦ Please refrain from demanding undue favours from 
the staff and officials as it encourages corruption. 

♦ Please provide useful feedback & constructed 
suggestions. These may be addressed to the 
Medical Officer Incharge of the PHC. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 







Annexure 9 

PROFORMA FOR FACILITY SURVEY FOR PHC ON IPHS 


Identification 


Name of the State:_ 

District:_ 

Tehsil/Taluk/Block:_ 

Location & Name of PHC:_ 

Is the PHC providing 24 hours and 7 days delivery facilities 
Date of Data Collection 

Name and Signature of the Person Collecting Data 


Day 


Month Year 


Services 

Population covered (in numbers) 

Type of PHC: 

a. Type A 

b. Type B 

Assured Services available (Yes/No) 

a. OPD Services 

b. Emergency services (24 Hours) 

c. Referral Services 

d. In-patient Services 


Number of beds available 

a. Bed Occupancy Rate in the last 12 months 
(1- less than 40%; 2 - 40-60%; 3 - More than 
60%) 

Average daily OPD Attendence 

a. Males 

b. Females 

Treatment of specific cases (Yes/No) 

a. Is the primary management of wounds done at 
the PHC? 

b. Is the primary management of fracture done at 
the PHC? 


fm Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 









c. Are minor surgeries like draining of abscess etc. 
done at the PHC? 

d. Is the primary management of cases of poisoning/ 
snake, insect or scorpion bite done at the PHC? 

e. Is the primary management of burns done at 
PHC? 

MCH Care including Family Welfare 

Service availability (Yes/No) 

a. Ante-natal care 

b. Intranatal care (24 - hour delivery services both 
normal and assisted) 

c. Post-natal care 

d. New born Care 

e. Child care including immunization 

f. Family Planning 

g. MTP 

h. Management of RTI/STI 

i. Facilities under Janani Suraksha Yojana 

Availability of specific services (Yes/No) 

a. Are antenatal clinics organized by the PHC 
regularly? 

b. Is the facility for normal delivery available in the 
PHC for 24 hours? 

c. Is the facility for tubectomy and vasectomy 
available at the PHC? 

d. Is the facility for internal examination for 
gynaecological conditions available at the PHC? 

e. Is the treatment for gynecological disorders like 
leucorrhoea, menstrual disorders available at the 
PHC? 

f. If women do not usually go to the PHC, then what 
is the reason behind it? 

g. Is the facility for MTP (abortion) available at the 
PHC? 

h. Is there any precondition for doing MTP such 
as enforced use of contraceptives after MTP or 
asking for husband's consent for MTP? 

i. Do women have to pay for MTP? 

j. Is treatment for anemia given to both pregnant as 
well as non-pregnant women? 


k. Are the low birth weight babies managed at the 
PHC? 

l. Is there a fixed immunization day? 

m. Is BCG and Measles vaccine given regularly in the 
PHC? 

n. How is the vaccine received at PHC and distributed 
to Sub-Centres? 

o. Is the treatment of children with pneumonia 
available at the PHC? 

p. Is the management of children suffering from 
diarrhea with severe dehydration done at the 
PHC? 

Other functions and services performed 
(Yes/No) 

a. Nutrition services. 

b. School Health programmes. 

c. Promotion of safe water supply and basic 
sanitation. 

d. Prevention and control of locally endemic 
diseases. 

e. Disease surveillance and control of epidemics. 

f. Collection and reporting of vital statistics. 

g. Education about health/behaviour change 
communication. 

h. National Health Programmes including HIV/AIDS 
control programes. 

i. AYUSH services as per local preference. 

j. Rehabilitation services (please specify). 

Monitoring and Supervision activities 
(Yes/No) 

a. Monitoring and supervision of activities of Sub- 
Centres through regular meetings/periodic visits, 
etc. 

b. Monitoring of National Health Programmes 

c. Monitoring activities of ASHAs 

d. Visits of Medical Officer to all Sub-Centres at least 
once in a month. 

e. Visits of Health Assistants (Male) and LHV to Sub- 
Centres once a week. 

f. Timely payment of JSY beneficiaries. 

g. Timely payment of TA/DA to ASHAs. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



Manpower 


SI. No. 

Staff 

Recommended 

Current Availability at 
PHC 

(Indicate Numbers) 

Remarks/Suggestions/ 
Identified Gaps 

1 

Medical Officer- MBBS 




2 

MO -AYUSH 




3 

Accountant/Clerk 




4 

Pharmacist 




5 

Pharmacist AYUSH 




6 

Nurse-midwife (Staff-Nurse) 




7 

Health workers (F) 




8 

Health Asstt. (Male) 




9 

Health Asstt. (Female)/LHV 




10 

Health Educator 




11 

Data entry cum computer operator 




12 

Laboratory Technician 




13 

Cold Chain & Vaccine Logistic Assistant 




14 

Multi-skilled Group D worker 




15 

Sanitary worker cum watchman 





Total 





Training of personnel during previous (full) year 


SI. No. 

Available training for 

Number trained 

1 

Tradition birth attendants 


2 

Health Worker (Female) 


3 

Health Worker (Male) 


4 

Medical Officer 


5 

Initial and periodic training of paramadics in treatment 
of minor ailments 


6 

Training of ASHAs 


7 

Periodic training of Doctors through 

Continuing Medical Education, conferences, skill 
development training etc. on emergency obstetric care, 
Training in FP services.-IUCD, Minilap and NSV, LSAS 


8 

Training of Health Workers in antenatal care and skilled 
birth attendance 



Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 







































Essential Laboratory Services 


SI. No. 

Current Availability at PHC 

Remarks/Suggestions/Identified Gaps 

1 

Routine urine, stool and blood tests 


2 

Blood grouping 


3 

Bleeding time, clotting time 


4 

Diagnosis of RTI/STDs with wet mounting, grams stain etc. 


5 

Sputum testing for TB 


6 

Blood smear examination for malaria parasite 


7 

Rapid tests for pregnancy 


8 

RPR test for Syphills/YAWS surveillance (in high endemic area only) 


9 

Rapid tests for HIV 


10 

Others (specify) 



Any other Services if available e.g., ECG 
Physical Infrastructure (As per specifications) 


SI. No. 

Current Availability at PHC 

If available, area in 

Sq. mts. 

Remarks/Suggestions/ 
Identified Gaps 

1 

Where is this PHC located? 

a. Within Village Locality 

b. Far from village locality 

c. If far from locality specify in km 



2 

Building 

a. Is a designated government building available for the PHC? 
(Yes/No) 

b. If there is no designated government building, then where 
does the PHC located? Rented premises/Other government 
building/Any other specify 

c. Area of the building (Total area in Sq. mts.) 

d. What is the present stage of construction of the building 
Construction? Complete/Construction incomplete 

e. Compound Wall/Fencing (1-All around; 2-Partial; 3-None) 

f. Condition of plaster on walls (1- Well plastered with plaster 
intact everywhere; 2- Plaster coming off in some places; 
3- Plaster coming off in many places or no plaster) 

g. Condition of floor (1- Floor in good condition; 2- Floor coming 
off in some places; 3- Floor coming off in many places or no 
proper flooring) 

h. Whether the cleanliness is Good/Fair/Poor? (Observe) 

OPD 

Wards 

Toilets 

Premises (compound) 

i. Are any of the following close to the PHC? (Observe) 

(Yes/No) 

i. Garbage dump 

ii. Cattle shed 

iii. Stagnant pool 

iv. Pollution from industry 




Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



























SI. No. 

Current Availability at PHC 

If available, area in 

Sq. mts. 

Remarks/Suggestions/ 
Identified Gaps 


j. Is boundary wall with gate existing? (Yes/No) 



3 

Location 

a. Whether located at an easily accessible area? (Yes/No) 

b. Distance of PHC (in Kms.) from the farthest village in 
coverage area 

c. Travel time (in minutes) to reach the PHC from farthest 
village in coverage area 

d. Distance of PHC (in Kms.) from the CHC 

e. Distance of PHC (in Kms.) from District Hospital 



4 

Prominent display boards regarding service availability in local 
language (Yes/No) 



5 

Registration counters (Yes/No) 

a. Pharmacy for drug dispensing and drug storage (Yes/No) 

b. Counter near entrance of PHC to obtain contraceptives, ORS 
packets, Vitamin A and Vaccination (Yes/No) 



6 

Separate public utilities for males and females (Yes/No) 



7 

Suggestion/complaint box (Yes/No) 



8 

OPD rooms/cubicles (Yes/No) (Give numbers) 



9 

OPD rooms/cubicles (Yes/No) (Give numbers) each room 
(Yes/No) 



10 

Family Welfare Clinic (Yes/No) 



11 

Waiting room for patients (Yes/No) 



12 

Emergency Room/Casualty (Yes/No) 



13 

Separate wards for males and females (Yes/No) 



14 

No. of beds: Male 



15 

No. of beds: Female 



16 

Operation Theatre (if exists) 

a. Operation Theatre available (Yes/No) 

b. If operation theatre is present, are surgeries carried out in 
the operation theatre? 

Yes/No/Sometimes 

c. If operation theatre is present, but surgeries are not being 
conducted there, then what are the reasons for the same? 

Non-availability of doctors/staff Lack of equipment/poor 
physical state of the operation theatre 

No power supply in the operation theatre/Any other reason 
(specify) 

d. Operation Theatre used for obstetric/gynaecological purpose 
(Yes/No) 

e. Has OT enough space (Yes/No) 



17 

Labour room 

a. Labour room available? (Yes/No) 

b. If labour room is present, are deliveries carried out in the 
labour room? 

Yes/No/Sometimes 




Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 

























SI. No. 

Current Availability at PHC 

If available, area in 

Sq. mts. 

Remarks/Suggestions/ 
Identified Gaps 


c. If labour room is present but deliveries are not being 
conducted there, then what are the reasons for the same? 

Non-availability of doctors/staff Poor condition of the 
labour room/No power supply in the labour room/Any 
other reason (specify) 

d. Is separate areas for septic and aseptic deliveries available? 
(Yes/No) 

e. Is Newborn care corner available (Yes/No) 



18 

Laboratory 

a. Laboratory (Yes/No) 

b. Are adequate equipment and chemicals available? (Yes/No) 

c. Is laboratory maintained in orderly manner? (Yes/No) 



19 

Ancillary Rooms - Nurses rest room (Yes/No 



20 

Water supply 

a. Source of water (1- Piped; 2- Bore well/hand pump/tube 
well; 3- Well; 4- Other (specify) 

b. Whether overhead tank and pump exist (Yes/No) 

c. If overhead tank exists whether its capacity sufficient? 
(Yes/No) 

d. If pump exists whether it is in working condition? (Yes/No) 



21 

Sewerage 

Type of sewerage system (1- Soak pit; 2- Connected to 

Municipal Sewerage) 



22 

Waste disposal 

How the waste material is being disposed (please specify)? 



23 

Electricity 

a. Is there electric line in all parts of the PHC? (1- In all parts; 
2- In some parts; 3- None) 

b. Regular Power Supply (1- Continuous Power Supply; 
2-Occasional power failure; 3- Power cuts in summer only; 
4-Regular power cuts; 5- No power supply 

c. Stand by facility (generator) available in working condition 
(Yes/No) 



24 

Laundry facilities 

a. Laundry facility available(Yes/No) 

b. If no, is it outsourced? 



25 

Communication facilities 

a. Telephone (Yes/No) 

b. Personal Computer (Yes/No) 

c. NIC Terminal (Yes/No) 

d. E.Mail (Yes/No) 

e. Is PHC accessible by 
i. Rail (Yes/No) 

Ii. All whether road (Yes/No) 
iii. Others (Specify) 



26 

Vehicles 

Vehicle (jeep/other vehicle) available? (Yes/No) 



27 

Office room (Yes/No) 




Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 




















SI. No. 

Current Availability at PHC 

If available, area in 

Sq. mts. 

Remarks/Suggestions/ 
Identified Gaps 

28 

Store room (Yes/No) 



29 

Kitchen (Yes/No) 



30 

Diet: 

a. Diet provided by hospital (Yes/No) 

b. If no, how diet is provided to the indoor patients? 



31 

Residential facility for the staff with all amenities 

Medical Officer 

Pharmacist 

Nurses 

Other staff 



32 

Behavioral Aspects (Yes/No) 

a. How is the behaviour of the PHC staff with the patient? 
Courteous/Casual/indifferent/lnsulting/derogatory 

b. Any fee for service is being charged from the users? (Yes/ 
No). If yes, specify. 

c. Is there corruption in terms of charging extra money for any 
of the service provided? (Yes/No) 

d. Is a receipt always given for the money charged at the PHC? 
(Yes/No) 

e. Is there any incidence of any sexual advances, verbal or 
physical abuse, sexual harassment by the doctors or any 
other paramedical? (Yes/No) 

f. Are woman patients interviewed in an environment that 
ensures privacy and dignity? (Yes/No) 

g. Are examinations on woman patients conducted in presence 
of a woman attendant, and procedures conducted under 
conditions that ensure privacy? (Yes/No) 

h. Do patients with chronic illnesses receive adequate care and 
drugs for the entire duration? (Yes/No) 

i. If the health centre is unequipped to provide the services; 
how and where the patient is referred and how patients 
transported? 

j. Is there a publicly displayed mechanism; whereby a 
complaint/grievance can be registered? (Yes/No) 

k. Is there an outbreak of any of the following diseases in the 
PHC area in the last three years? 

Malaria 

Measles 

Gastroenteritis 

Jaundice 

l. If yes, did the PHC staff responded immediately to stop the 
further spread of the epidemic 

m. Does the doctor do private practice during or after the duty 
hours? (Yes/No) 

n. Are there instances where patients from particular social 
background? SC, ST, dalits, minorities, villagers have faced 
derogatory or discriminatory behavior or service of poorer 
quality? (Yes/No) 

o. Have patients with specific health problems (HIV/AIDS, 
leprosy) suffered discrimination in any form? (Yes/No) 




|1 Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 














Equipment (As per list) 


Equipment 

Available 

Functional 

Remarks/Suggestions/ 
Identified Gaps 





® - • 













Drugs (As per essential drug list) 


Drug 

Available 

Remarks/Suggestions/Identified Gaps 











Furniture 


SI. No. 

Item 

Current Availability 
atPHC 

If available, 
area in Sq. mts. 

Remarks/ 
Suggestions/ 
Identified Gaps 

1 

Examination Table 




2 

Delivery Table 




3 

Footstep 




4 

Bed Side Screen 




5 

Stool for patients 




6 

Arm board for adult & child 




7 

1 V stand 




8 

Wheel chair 




9 

Stretcher or trolley 




10 

Oxygen trolley 




11 

Height measuring stand 




12 

Iron bed 




13 

Bed side locker 




14 

Dressing trolley 




15 

Mayo trolley 




16 

Instrument cabinet 




17 

Instrument trolley 




18 

Bucket 




19 

Attendant stool 




20 

Instrument tray 




21 

Chair 





Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 


















































SI. No. 

Item 

Current Availability 
atPHC 

If available, 
area in Sq. mts. 

Remarks/ 
Suggestions/ 
Identified Gaps 

22 

Wooden table 




23 

Almirah 




24 

Swab rack 




25 

Mattress 




26 

Pilow 




27 

Waiting bench for patients/attendants 




28 

Medicine cabinet 




29 

Side rail 




30 

Rack 




31 

Bed side attendant chair 




32 

Others 





Quality Control 


SI. No. 

Particular 

Whether functional/ 
available as per norms 

Remarks 

1 

Citizen's charter (Yes/No) 



2 

Constitution of Rogi Kalyan Samiti (Yes/No) (give a 
copy of office order notifying the members) 



3 

Internal monitoring (Social audit through Panchayati 
Raj Institution/Rogi Kalyan Samitis, medical audit, 
technical audit, economic audit, disaster preparedness 
audit etc. (Specify) 



4 

External monitoring/Gradation by PRI (Zila Parishad/ 
Rogi Kalyan Samitis) 



5 

Availability of Standard Operating Procedures (SOP)/ 
Standard Treatment Protocols (STP)/Guidelines etc. 
(Please provide a list) 




Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 


































Annexure 10 


FACILITY BASED MATERNAL DEATH REVIEW FORM 


Note 

This form must be completed for all deaths, including abortions and ectopic gestation related deaths, in pregnant 
women or within 42 days after termination of pregnancy irrespective of duration or site of pregnancy. 

Attach a copy of the case records to this form 

Complete the form in duplicate within 24 hours of a maternal death. The original remains at the institution where 
the death occurred and the copy is sent to the person responsible for maternal health in the State 
For Office Use Only: 

FB-MDR No: Year: 

General Information 

Address of Contact Person at District and State: 

Residential Address of Deceased Woman: 

Address where Died: 

Name and Address of facility: 

Block: 

District: State: 

Details of Deceased Woman 

i. Name: /Age (years): /Sex: /Inpatient Number: 

ii. Gravida: /Live Births (Para): /Abortions: /No. of Living children: 

iii. Timing of death: During pregnancy/during delivery/within 42 days of delivery 

iv. Days since delivery/abortion: 

v. Date and time of admission: 

vi. Date/Time of death: 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 





Admission at Institution Where Death Occurred or from Where It 
Was Reported; 

i. Type of facility where died: 


PHC 

24 x 7 PHC 

Sdh/Rural 

Hospital 

District 

Hospital 

Medical 

College/ 

Tertiary 

Hospital 

Private 

Hospital 

Pvt Clinic 

Other 










ii. Stage of pregnancy/delivery at admission: 


Abortion 

Ectopic pregnancy 

Not in labour 

In labour 

Postpartum 







iii. Stage of pregnancy/delivery when died: 


Abortion 

Ectopic pregnancy 

Not in labour 

In labour 

Postpartum 







iv. Duration of time from onset of complication to admission: 

v. Condition on Admission: Stable/Unconscious/Serious/Brought dead 

vi. Referral history: Referred from another centre? 

How many centres? 

Type of centre? 

Antenatal Care 

Received Antenatal care or not/ 

Reasons for not receiving care/ 

Type of Ante Natal care provided/ 

High risk pregnancy: aware of risk factors?/what risk factors? 

Delivery, Puerperium and Neonatal Information 

i. Details of labor: /had labor pains or not/stage of labor when died/duration of labor 

ii. Details of delivery: /undelivered/normal/assisted (forceps or vacuum)/surgical intervention (C-section) 

iii. Puerperium: /Uneventful/Eventful (PPH/Sepsis etc.) 

Comments on labour, delivery and puerperium: (in box below) 


fm Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 















iv. Neonatal Outcome: /stillborn/neonatal death immediately after birth/alive at birth/alive at 7 days/ 

Comments on baby outcomes(in box below) 


Interventions 

Specific medical/surgical procedures/rescuscitation procedures undertaken 

Cause of Death 

a. Probable direct obstetric (underlying) cause of death: Specify: 

b. Indirect Obstetric cause of death: Specify: 

c. Other Contributory (or antecedent) cause/s: Specify: 

d. Final Cause of Death:(after analysis) 

Factors 

(other than medical causes listed above) 

a. Personal/Family 

b. Logistics 

c. Facilities available 

d. Health personnel related 

Comments on potential avoidable factors, missed opportunities and substandard care 


Autopsy 

Performed/Not Performed 

If performed please report the gross findings and send the detailed report later 

Case Summary 

(please supply a short summary of the events surrounding the death): 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 






Form filled by: 

Name 

Designation 
Institution and location 
Signature and Stamp 
Date 

Note: To facilitate the investigation, for detailed Questions refer to annexures on FBMDR. 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



Annexure 11 : INTEGRATED DISEASE SURVEILLANCE PROJECT 
FORMATS 


Form S 

Reporting Format for Syndromic Surveillance 

(To be filled by Health Worker, Village Volunteer, Non-formal Practitioners) 


State.District.Block.Year. 


Name of the health worker/Volunteer/Practitioner 

Name of the Surpervisor 

Name of the Reporting Unit 




ID No./Unique idenlifier (To be filled by DSU) 

Reporting From 







week 

dd mm yy 




To 








a 

b 

c 

d 

e 

f 

g 

h 

i 

j 

k 

1 

m 

n 


Cases 

Total 

Deaths 

Total 


Male 


z emale 

Male 


-emale 


<5yr 

>5yr 

Total 

<5yr 

>5yr 

Total 

<5yr 

>5yr 

Total 

<5yr 

>5yr 

Total 

1. Fever 

Fever <7 days 















1. Only Fever 















2. With Rash 















3. With Bleeding 















4. With Daze/Semiconsciousness 















Fever > 7 days 















2. Cough with or without fever 

<3 weeks 















>3 weeks 















3. Loose Watery Stools of Less Than 2 Weeks Duration 

With some/Much Dehydration 















With no Dehydration 















With Blood in Stool 















4. Jaundice cases of Less Than 4 Weeks Duration 

Cases of acute Jaundice 















5. Acute Flaccid Paralysis Cases in Less Than 15 Years of Age 

Cases of Acute Flaccid Paralysis 















6. Unusual Symptoms Leading to Death or Hospitalization that do not fit into the above. 

















Date: 


Signature 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 



















































































































































































Annexure 11 A 


Form P 

Weekly Reporting Format - IDSP 


Name of Reporting Institution: 

I.D. No.: 

State: 

District: 

Block/Town/City: 

Officer-in-Charge 

Name: 

Signature: 

IDSP Reporting Week:- 

Start Date:- 

End Date:- 

Date of Reporting:- 


/ / 

/ / 

/ / 


SI. No. 

Diseases/Syndromes 

No. of cases 

1 

Acute Diarrhoeal Disease (including acute gastroenteritis) 


2 

Bacillary Dysentery 


3 

Viral Hepatitis 


4 

Enteric Fever 


5 

Malaria 


6 

Dengue/DHF/DSS 


7 

Chikungunya 


8 

Acute Encephalitis Syndrome 


9 

Meningitis 


10 

Measles 


11 

Diphtheria 


12 

Pertussis 


13 

Chicken Pox 


14 

Fever of Unknow Origin (PUO) 


15 

Acute Respiratory Infection (ARI) Influenza Like Illness (ILI) 


16 

Pneumonia 


17 

Leptospirosis 


18 

Acute Flaccid Paralysis < 15 year of Age 


19 

Dog bite 


20 

Snake bite 


21 

Any other State Specific Disease (Specify) 


22 

Unusual Syndromes NOT Captured Above (Specify clinical diagnosis) 



Total New OPD attendance (Not to be filled up when data collected for indoor cases) 



Action taken in brief if unusual increase noticed in cases/deaths for any of the above 
diseases 



Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 












































Annexure 11 B 


Form L 

Weekly Reporting Format - IDSP 


Name of the Laboratory: 

Institution: 

State: 

District: 

Block/Town/City: 

Officer-in-Charge: 

Name: 

Signature: 

IDSP Reporting Week:- 

Start Date:- 

End Date:- 

Date of Reporting:- 


/ / 

II 

/ / 


Diseases 

No. Samples Tested 

No. Found Positive 

Dengue/DHF/DSS 



Chikungunya 



JE 



Meningococcal Meningitis 



Typhoid Fever 



Diphtheria 



Cholera 



Shigella Dysentery 



Viral Flepatitis A 



Viral Hepatitis E 



Leptospirosis 



Malaria 


PV: PF: 

Other (Specify) 



Other (Specify) 




Line List of Positive Case (Except Malaria cases): 


Name 

Age 

(Yrs) 

Sex 

(M/F) 

Address: 

Village/Town 

Name of Test Done 

Diagnosis (Lab confirmed) 
















































































Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 
























































Annexure 11 C 


Format for instantaneous reporting of Early Warning Signals/Outbreaks 

as soon as it is detected 


State: 


District: 


Date of reporting: 


Is there any unusual increase in Case/Deaths or unusual event in any area? Yes/No 
If yes, provide the following information: 


Disease/Syndrome (Provisional/Confirmed) 


Area affected (Block, PHC, Sub-Centre, Village) 


No. of cases 


No. of deaths 


Date of start of the outbreak 


Total population of affected area (Village) 


Salient epidemiological observations 


Lab results (type of sample, number of samples collected and 
tested, What tests, where, results) 


Control measures undertaken (Investigated by RRT or not) 


Present status 


Any other information 



* State SSU need to report instantaneously as well as weekly compilation on every Monday to the CSU including NIL reports 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 















Annexure 12 


LIST OF STATUTORY AND REGULATORY COMPLIANCES 


1. No objection certificate from the Competent Fire 
Authority 

2. Authorisation under Bio-medical Waste 
(Management and Handling) Rules, 1998 

3. Authorisation from Atomic Energy Regulation 

4. Board. 

5. Hazardous Waste (Management, Handling and 
Trans-boundary Movement) Rules 2008 

6. Authorisation from Atomic Energy Regulation 
Board (if X-Ray facility available) 

7. Excise permit to store Spirit 

8. Vehicle registration certificates for Ambulances 

9. Consumer Protection Act 

10. Drug & Cosmetic Act 1950 

11. Fatal Accidents Act 1855 


12. Indian Lunacy Act 1912 

13. Indian Medical Council Act and code of Medical Ethics 

14. Indian Nursing Council Act 

15. Insecticides Act 1968 

16. Maternity Benefit Act 1961 

17. Boilers Act as amended in 2007 

18. MTP Act 1971 

19. Persons with Disability Act 1995 

20. Pharmacy Act 1948 

21. PNDT Act 1996 

22. Registration of Births and Deaths Act 1969 

23. Right to Information Act 

24. Clinical Establishments (Registration and 
Regulation) Act 2010 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 




Annexure 13 


LIST OF ABBREVIATIONS 


AEFI 

AIIMS 

ANC 

ANM 

ARI 

ASHA 

AYUSH 

AWW 

BCC 

BCG 

BIS 

CBHI 

CHC 

CMO 

DDK 

DEC 

DEMO 

DGHS 

DOTS 

DPT 

DT 

Dy. DEMO 

EAG 

ELF 

FRU 

HSCC 


Adverse Event Following Immunization 
All India Institute of Medical Sciences 
Ante Natal Check-up 
Auxiliary Nurse Midwife 
Acute Respiratory Infections 
Accredited Social Health Activist 

Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homeopathy 

Anganwadi Worker 

Behaviour Change Communication 

Bacille Calmette Guerians Vaccine 

Bureau of Indian Standards 

Community Based Health Insurance Schemes/Central Bureau of Health Intelligence 

Community Health Centre 

Chief Medical Officer 

Disposable Delivery Kit 

Di Ethyle Carbamazine 

District Extension and Media Officer 

Director General of Health Services 

Directly Observed Treatment Short Course 

Diphtheria, Pertussis and Tetanus Vaccine 

Diphtheria and Tetanus Vaccine 

Deputy District Extension and Media Officer 

Empowered Action Group 

Elimination Of Lymphatic Filariasis 

First Referral Unit 

Hospital services Consultancy Corporation 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 





ICDS 

IDSP 

ID/AP 

IEC 

I FA 

IPHS 

IUCD 

JSY 

LHV 

MCH 

MO 

MTP 

NVBDCP 

NACP 

NCDC 

NIDDCP 

NIHFW 

NLEP 

NPCB 

NPCDCS 

NRHM 

NVBDCP 

OPV 

ORS 

PHC 

PPTCT 

PRI 

RBC 

RCH 

RKS 

RNTCP 

RTI 

SC 

STI 

TOR 

VHSC 

VHSNC 

VAPP 

WBC 


Integrated Child Development Services Scheme 
Integrated Disease Surveillance Project 
Infrastructure Division/Area Projects 
Information, Education and Communication 
Iron and Folic Acid 
Indian Public Health Standard 
Intra Uterine Contraceptive Device 
Janani Suraksha Yojana (JSY) 

Lady Health Visitor 
Maternal and Child Health 
Medical Officer 

Medical Termination of Pregnancy 

National Vector Borne Disease Control Programme 

National AIDS Control Programme 

National Centre for Disease Control 

National Iodine Deficiency Disorders Control Programme 

National Institute of Health & Family Welfare 

National Leprosy Eradication Programme 

National Programme for Control of Blindness 

National Programme for Prevention and Control of Cancer Diabetes, CVD and Stroke 

National Rural Health Mission 

National Vector Borne Disease Control Programme 

Oral Polio Vaccine 

Oral Rehydration Solution 

Primary Health Centre 

Prevention of Parents to Child Transmission 

Panchayati Raj Institution 

Red Blood Corpuscle 

Reproductive and Child Health 

Rogi Kalyan Samiti 

Revised National Tuberculosis Control Programme 

Reproductive Tract Infections 

Sub-Centre 

Sexually Transmitted Infections 
Terms of Reference 

Village Health and Sanitation Committee 
Village Health Sanitation and Nutrition Committee 
Vaccine-associated Paralytic Poliomyelitis 
White Blood Corpuscle 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 




REFERENCES 


1. National Rural Health Mission 2005-2012 - 
Reference Material (2005), Ministry of Health & 
Family Welfare, Government of India. 

2. Bulletin on Rural Health Statistics in India (2005), 

Infrastructure Division, Department of Family 
Welfare; Ministry of Health & Family Welfare, 
Government of India. 

3. Guidelines for Operationalising 24x7 PHC 
(2005) (unpublished). Maternal Health Division, 
Department of Family Welfare, Ministry of Health 
& Family Welfare, Government of India. 

4. Guidelines for Ante-Natal Care and Skilled 
Attendance at Birth by ANMs and LHVs (2005), 
Maternal Health Division, Department of Family 
Welfare, Ministry of Health & Family Welfare, 
Government of India. 


5. RCH Phase II, National Program Implementation 
Plan (PIP) (2005), Ministry of Health & Family 
Welfare, Government of India. 

6. Guidelines for Setting up of Rogi Kalyan Samiti/ 
Hospital Management Committee (2005), 
Ministry of Health & Family Welfare, Government 
of India. 

7. Indian Standard: Basic Requirements for Hospital 
Planning, Part-1 up to 30 Bedded Hospital, IS: 
12433 (Part 1)-1988, Bureau of Indian Standards, 

New Delhi. 

8 . Indian Public Health Standards (IPHS) for 
Community Health Centre (April 2005), 

Directorate General of Health Services, Ministry 
of Health & Family Welfare, Government of 
India. 



Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 




MEMBERS OF TASK FORCE FOR REVISION OF IPHS 


(As per order No. T 21015/55/09 - NCD, Dte.GHS, dated 29-1-2010 and minutes of 

meeting of Task Force held on 12-2-2010) 


1. Dr. R.K. Srivastava, Director General of Health 
Services - Chairman 

2. Dr. Shiv Lai, Special DG (PH), Dte.GHS, Nirman 
Bhawan, New Delhi - Co-Chairman. 

3. Sh. Amarjit Sinha, Joint Secretary, NRHM, Ministry 
of Health & F.W., Nirman Bhawan, New Delhi. 

4. Dr. Amarjit Singh, Executive Director, 
Jansankhya Sthirata Kosh, Bhikaji Cama Place, 
New Delhi-110066. 

5. Dr. B. Deoki Nandan, Director National Institute of 
Health & Family Welfare, Baba Gang Nath Marg, 
Munirka, New Delhi - 110067 

6. Dr. T. Sunderraman, Executive Director, National 
Health Systems Resource Centre, NIHFW 
Campus, Baba Gang Nath Marg, Munirka, 
New Delhi-110067. 

7. Dr. N.S. Dharmshaktu, DDG (NSD), Dte.G.H.S., 
Nirman Bhawan, New Delhi. 

8. Dr. S.D. Khaparde, DC (ID), Ministry of Health & 
F.W., Nirman Bhawan, New Delhi. 

9. Dr. A.C. Dhariwal, Additional Director (PH) and 
NPO, National Centre for Disease Control (NCDC), 
22, Sham Nath Marg, New Delhi - 110054. 

10. Dr. C.S. Pandav, Prof, and Head, Community 
Medicine, AIIMS, New Delhi. 


11. Dr. J.N. Sahay, Advisor on Quality improvement, 
National Health Systems Resource Centre, 
NIHFW Campus, Baba Gang Nath Marg, Munirka, 
New Delhi-110067. 

12. Dr. Bir Singh, Prof. Department of Community 
Medicine, AIIMS and Secretary General. Indian 
Association of Preventive and Social Medicine. 

13. Dr. Jugal Kishore, Professor of Community 
Medicine, MaulanaAzad Medical College, Bahadur 
Shah Zafar Marg, New Delhi - 110002 

14. Mr. J.P. Mishra, Ex. Programme Advisor, European 
Commission, New Delhi 

15. Dr. S. Kulshreshtha, ADG, Dte. GHS., Nirman 
Bhawan, New Delhi. 

16. Dr. A.C. Baishya, Director, North Eastern Regional 
Resource Centre, Guwahati, Assam. 

17. Dr. S. K. Satpathy, Public Health Foundation of 
India, Aadi School Building, Ground Floor, 2 Balbir 
Saxena Marg, New Delhi - 110016. 

18. Dr. V.K. Manchanda, World Bank, 70, Lodhi Estate, 
New Delhi-110003. 

19. Sh. Dilip Kumar, Nursing Advisor, Dte. G.H.S., 
Nirman Bhawan, New Delhi. 

20. Dr. Anil Kumar, CMO (NFSG), Dte.G.H.S, Nirman 
Bhawan, New Delhi- Member Secretary 


Indian Public Health Standards (IPHS) Guidelines for PRIMARY HEALTH CENTRES 







U7#T WR»t Pl?H 


Directorate General of Health Services 

Ministry of Health & Family Welfare 
Government of India